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General NPI Number Information
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NPI Number | 1811213309
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Entity Type | Individual
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Provider Name | KATHERINE GRACE HAYES M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2010
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Last Update Date | 11/03/2021
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Provider Practice Location Address
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Address Line | 100 N MARIO CAPECCHI DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84113-1103
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Country | US
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Telephone | 801-662-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 50 N MEDICAL DR DEPT OF
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City | SALT LAKE CITY
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State | UT
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Zip | 84132-0001
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Country | US
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Telephone | 801-662-1717
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 56840-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 275442
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11640813-1205
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License Number State | UT
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