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General NPI Number Information
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NPI Number | 1811024813
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Entity Type | Organization
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Legal Business Name | CHERYL A HAYES DO PS
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 12/08/2009
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Provider Practice Location Address
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Address Line | 425 SW 41ST ST
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City | RENTON
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State | WA
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Zip | 98057-4926
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Country | US
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Telephone | 425-226-1190
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Fax | 425-282-6753
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Provider Business Mailing Address
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Address Line | 425 SW 41ST ST
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City | RENTON
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State | WA
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Zip | 98057-4926
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Country | US
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Telephone | 425-226-1190
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Fax | 425-282-6753
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. CHERYL A HAYES
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Credential | DO
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Telephone | 425-226-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OP00001413
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License Number State | WA
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