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General NPI Number Information
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NPI Number | 1740255736
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Entity Type | Individual
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Provider Name | KIMBERLY A HAYDEN MD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 2769 HEARTLAND DR SUITE 205
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City | CORALVILLE
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State | IA
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Zip | 52241-2732
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Country | US
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Telephone | 319-688-7400
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Fax | 319-688-7998
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Provider Business Mailing Address
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Address Line | PO BOX 2027
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City | IOWA CITY
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State | IA
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Zip | 52244-2027
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Country | US
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Telephone | 319-339-3541
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Fax | 319-358-2737
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01053977
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34302
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License Number State | IA
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