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General NPI Number Information
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NPI Number | 1639078413
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Entity Type | Individual
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Provider Name | BRIAN XAVIER HAIRE
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Gender |
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 126 HWY 280
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City | AMERICUS
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State | GA
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Zip | 31719-8645
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Country | US
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Telephone | 229-924-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 607 JOHNNY W WILLIAMS RD
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City | ALBANY
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State | GA
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Zip | 31701-4208
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN-NP273491
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License Number State | GA
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