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General NPI Number Information
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NPI Number | 1689282949
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Entity Type | Individual
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Provider Name | BRIAN SCHMIDT HAYNES
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Gender | Male
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-338-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6510 BRYCE RD
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City | CLYDE
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State | MI
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Zip | 48049-3512
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Country | US
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Telephone | 810-887-1039
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5151017216
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License Number State | MI
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