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General NPI Number Information
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NPI Number | 1467862946
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Entity Type | Individual
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Provider Name | NATHANIEL HAYWARD III MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 07/12/2024
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Provider Practice Location Address
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Address Line | 1001 N WALDROP DR STE 602
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City | ARLINGTON
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State | TX
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Zip | 76012-4714
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Country | US
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Telephone | 817-277-4723
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Fax | 817-274-5143
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Provider Business Mailing Address
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Address Line | 1008 N DAVIS DR
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City | ARLINGTON
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State | TX
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Zip | 76012-3235
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Country | US
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Telephone | 817-274-1999
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Fax | 817-274-4671
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R7019
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License Number State | TX
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