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NPI 1497103642

NPI 1497103642 : APRIL DENISE HAYNES CSA : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1497103642
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL DENISE HAYNES CSA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/27/2016
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    Last Update Date     |    08/20/2016
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Provider Practice Location Address
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    Address Line         |    7324 SW FREEWAY, SUITE 1550 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77074
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    Country              |    US
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    Telephone            |    713-779-9800
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    Fax                  |    713-779-9813
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Provider Business Mailing Address
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    Address Line         |    3918 CORAL SHADOWS DR 
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77449-7641
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    Country              |    US
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    Telephone            |    832-705-1653
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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        |    246ZC0007X
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    Taxonomy Name        |    Surgical Assistant
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    License Number       |    4596
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    License Number State |    TX
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