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General NPI Number Information
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NPI Number | 1639712649
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Entity Type | Individual
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Provider Name | MARLANA HAYES NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 112 HEAD AVE
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City | TALLAPOOSA
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State | GA
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Zip | 30176-1219
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Country | US
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Telephone | 678-573-8004
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Fax | 470-329-0422
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Provider Business Mailing Address
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Address Line | 618 THORNTON RD STE 3-297
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122-1518
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Country | US
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Telephone | 404-692-3189
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Fax | 470-329-0422
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F09190100
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RNNP227300
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 346267
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License Number State | NY
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