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General NPI Number Information
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NPI Number | 1487749818
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Entity Type | Organization
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Legal Business Name | HAYMAN MULTI-CARE, P.L.C.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 3109 CLEARWATER DR SUITE B
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City | PRESCOTT
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State | AZ
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Zip | 86305-7154
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Country | US
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Telephone | 928-774-9428
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Fax |
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Provider Business Mailing Address
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Address Line | 3103 CLEARWATER DR STE B
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City | PRESCOTT
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State | AZ
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Zip | 86305-7165
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Country | US
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Telephone | 928-774-9428
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Fax | 928-776-9214
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRAD LEE HAYMAN
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Credential | D.P.M.
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Telephone | 928-774-9428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | AZ0216
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License Number State | AZ
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