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General NPI Number Information
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NPI Number | 1467631291
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Entity Type | Organization
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Legal Business Name | HAYES SPORTS CHIROPRACTIC INC
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 11428 SOUTH ST
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City | CERRITOS
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State | CA
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Zip | 90703-6611
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Country | US
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Telephone | 562-866-8384
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Fax | 562-920-1454
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Provider Business Mailing Address
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Address Line | 5687 WOODRUFF AVE
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City | LAKEWOOD
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State | CA
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Zip | 90713-1129
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Country | US
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Telephone | 562-866-8384
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Fax | 562-920-1454
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Authorized Official
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Title or Position | CHIROPRACTOR/ OWNER
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Name | DR. FREDDY NEAL HAYES JR.
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Credential | DC
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Telephone | 562-866-8384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC21355
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License Number State | CA
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