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General NPI Number Information
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NPI Number | 1457067134
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Entity Type | Individual
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Provider Name | ADRIENNE HAYFORD NP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 450 TATONE ST
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City | BOARDMAN
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State | OR
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Zip | 97818-8076
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Country | US
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Telephone | 541-481-7212
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Fax | 541-481-2020
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | BOARDMAN
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State | OR
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Zip | 97818-0397
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Country | US
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Telephone | 541-481-7212
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Fax | 541-481-2020
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 294058-4405
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License Number State | UT
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