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General NPI Number Information
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NPI Number | 1710087432
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Entity Type | Organization
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Legal Business Name | HAYEN PHARMACIES, P.A.
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 461 E POYNTZ AVE
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City | MANHATTAN
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State | KS
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Zip | 66502-5045
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Country | US
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Telephone | 785-539-1717
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Fax | 785-539-0417
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Provider Business Mailing Address
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Address Line | 461 E POYNTZ AVE
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City | MANHATTAN
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State | KS
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Zip | 66502-5045
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Country | US
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Telephone | 785-539-1717
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Fax | 785-539-0417
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. PAUL CHARLES HAYEN
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Credential | RPH.
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Telephone | 785-539-1717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 8241
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License Number State | KS
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