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General NPI Number Information
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NPI Number | 1396511705
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Entity Type | Individual
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Provider Name | SHENG HALEY PA
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Gender | Male
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Dates
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Enumeration Date | 11/27/2023
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1126 N CHURCH ST STE 300
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City | GREENSBORO
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State | NC
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Zip | 27401-1037
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Country | US
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Telephone | 336-939-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 112 N MANITOU DR
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City | MANKATO
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State | MN
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Zip | 56001-5530
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Country | US
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Telephone | 208-610-4374
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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