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General NPI Number Information
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NPI Number | 1487617296
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Entity Type | Individual
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Provider Name | PAUL NELSON HAYES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 500 MAIN ST
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City | NORWAY
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State | MI
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Zip | 49870-1238
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Country | US
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Telephone | 906-563-9255
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Fax | 906-563-9706
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801-0549
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Country | US
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Telephone | 906-774-1313
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Fax | 906-776-5639
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 035335
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41583-020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 035335
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 41583-020
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License Number State | WI
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