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General NPI Number Information
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NPI Number | 1679239834
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Entity Type | Individual
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Provider Name | HEATHER MARIE HAYES FNP
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Gender | Female
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 24107 LONE ELM DR
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City | SPRING
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State | TX
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Zip | 77373-6336
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Country | US
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Telephone | 480-326-7278
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Fax |
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Provider Business Mailing Address
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Address Line | 14015 SWISS HILL DR
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City | HOUSTON
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State | TX
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Zip | 77077-1123
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Country | US
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Telephone | 480-326-7278
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1151689
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License Number State | TX
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