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General NPI Number Information
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NPI Number | 1518044130
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Entity Type | Organization
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Legal Business Name | HAYES CHIROPRACTIC INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 820 S FAIRMONT AVE
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City | LODI
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State | CA
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Zip | 95240-5117
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Country | US
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Telephone | 209-368-6639
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Fax | 209-368-7330
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Provider Business Mailing Address
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Address Line | PO BOX 707
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City | LODI
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State | CA
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Zip | 95241-0707
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Country | US
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Telephone | 209-368-6639
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Fax | 209-368-7330
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL CHARLES HAYES
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Credential | D.C.
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Telephone | 209-368-6639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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