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NPI 1811151525

NPI 1811151525 : VERNON J HAYES,D.O.,P.A. : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1811151525
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    Entity Type          |    Organization 
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    Legal Business Name  |    VERNON J HAYES,D.O.,P.A. 
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Dates
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    Enumeration Date     |    07/11/2008
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    Last Update Date     |    07/14/2008
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Provider Practice Location Address
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    Address Line         |    2600 MONTGOMERY ST 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76107-4525
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    Country              |    US
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    Telephone            |    817-731-3936
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    Fax                  |    817-782-0206
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Provider Business Mailing Address
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    Address Line         |    2600 MONTGOMERY ST 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76107-4525
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    Country              |    US
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    Telephone            |    817-731-3936
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    Fax                  |    817-782-0206
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. VERNON J HAYES 
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    Credential           |    D.O.
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    Telephone            |    817-731-3936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    E7973
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    License Number State |    TX
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