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General NPI Number Information
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NPI Number | 1487269742
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Entity Type | Individual
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Provider Name | STEPHANIE SIM HAYES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 3100 SCHOFIELD RD
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-7577
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Country | US
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Telephone | 931-302-4538
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 SCHOFIELD RD
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-7577
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Country | US
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Telephone | 210-539-9582
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 161422
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1091846
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License Number State | TX
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