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General NPI Number Information
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NPI Number | 1588530372
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Entity Type | Organization
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Legal Business Name | HAYATT HEALTH INC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2501 CHATHAM RD STE R
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 561-777-0191
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 69TH ST
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City | DARIEN
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State | IL
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Zip | 60561-3867
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Country | US
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Telephone | 561-777-0191
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITONER/OWNER
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Name | NANCY ALIAN
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Credential | APRN
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Telephone | 561-777-0191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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