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General NPI Number Information
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NPI Number | 1487525689
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Entity Type | Individual
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Provider Name | INGRID NICOLE NAKITA HAYES
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Gender | Female
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 58206 THOMAS DR
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City | NEW HAVEN
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State | MI
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Zip | 48048-3325
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Country | US
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Telephone | 248-797-1657
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Fax |
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Provider Business Mailing Address
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Address Line | 3723 GRIGG DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-6137
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Country | US
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Telephone | 248-797-1657
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | H200339630505
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License Number State | MI
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