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General NPI Number Information
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NPI Number | 1457427080
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Entity Type | Individual
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Provider Name | DANIEL S HAYES PHD
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 2190 W IRONWOOD CENTER DR STE 2
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2695
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Country | US
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Telephone | 208-666-0357
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Fax | 208-666-0468
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Provider Business Mailing Address
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Address Line | 2190 W IRONWOOD CENTER DR STE 2
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2695
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Country | US
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Telephone | 208-666-0357
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Fax | 208-666-0468
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY244
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License Number State | ID
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