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General NPI Number Information
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NPI Number | 1801990510
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Entity Type | Organization
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Legal Business Name | CHARLES HAYDEN MD PA
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 5151 RESEARCH DR NW STE B
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City | HUNTSVILLE
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State | AL
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Zip | 35805-5911
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Country | US
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Telephone | 256-722-1999
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Fax | 256-722-1366
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Provider Business Mailing Address
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Address Line | PO BOX 1425
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City | MADISON
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State | AL
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Zip | 35758-5402
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Country | US
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Telephone | 256-722-1999
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Fax | 256-722-1366
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES R HAYDEN JR.
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Credential | MD
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Telephone | 256-722-1999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12729
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License Number State | AL
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