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General NPI Number Information
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NPI Number | 1578724274
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Entity Type | Individual
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Provider Name | HAYDEN MERRILL PASCO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 611 WATKINS CENTRE PKWY STE 350
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-4404
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Country | US
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Telephone | 804-601-4901
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Fax | 866-674-0063
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Provider Business Mailing Address
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Address Line | 611 WATKINS CENTRE PKWY STE 350
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-4404
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Country | US
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Telephone | 804-601-4901
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Fax | 866-674-0063
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101247582
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License Number State | VA
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