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General NPI Number Information
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NPI Number | 1528579349
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Entity Type | Individual
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Provider Name | HAYLEY G MCCAMMON
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 4300 BAYOU BLVD STE 2
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City | PENSACOLA
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State | FL
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Zip | 32503-2671
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Country | US
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Telephone | 850-607-1538
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Fax |
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Provider Business Mailing Address
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Address Line | 6154 QUINTETTE RD
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City | PACE
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State | FL
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Zip | 32571-6753
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Country | US
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Telephone | 850-607-1538
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS5304
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License Number State | FL
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