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General NPI Number Information
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NPI Number | 1518228089
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Entity Type | Individual
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Provider Name | DANNIE MARION HAYES RPH
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Gender | Male
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 7445 CLINTON RD
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City | STEDMAN
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State | NC
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Zip | 28391-8901
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Country | US
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Telephone | 910-323-4555
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Fax | 910-483-0515
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Provider Business Mailing Address
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Address Line | 7445 CLINTON RD PO BOX 625
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City | STEDMAN
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State | NC
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Zip | 28391-8901
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Country | US
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Telephone | 910-323-4555
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Fax | 910-483-0515
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 006899
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License Number State | NC
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