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General NPI Number Information
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NPI Number | 1720194749
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Entity Type | Organization
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Legal Business Name | PAULJOHN HAYNER MD PC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 1230 MARINE DR 201
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City | ASTORIA
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State | OR
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Zip | 97103-4059
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Country | US
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Telephone | 503-338-4325
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23200
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City | PORTLAND
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State | OR
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Zip | 97281-3200
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Country | US
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Telephone | 503-968-2779
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAULJOHN HAYNER
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Credential | MD
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Telephone | 503-338-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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