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General NPI Number Information
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NPI Number | 1700274214
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Entity Type | Organization
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Legal Business Name | HAYNES NEUROSURGICA GROUP
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/06/2015
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Provider Practice Location Address
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Address Line | 801 PRINCETON AVE SW SUITE 310
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1310
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Country | US
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Telephone | 205-787-8676
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Fax | 205-785-7944
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Provider Business Mailing Address
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Address Line | 801 PRINCETON AVE SW SUITE 310
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1310
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Country | US
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Telephone | 205-787-8676
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Fax | 205-785-7944
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBBIE R TREADWELL
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Credential |
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Telephone | 205-787-8676
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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 |
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License Number State |
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