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General NPI Number Information
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NPI Number | 1811297286
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Entity Type | Individual
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Provider Name | DANIELLE V. HAYES-HARRIS RN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 401 MCEWEN DR
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City | NICEVILLE
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State | FL
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Zip | 32578-2741
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Country | US
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Telephone | 850-833-9237
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Fax | 850-833-9304
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Provider Business Mailing Address
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Address Line | 4487 PARKWOOD SQ
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City | NICEVILLE
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State | FL
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Zip | 32578-9706
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Country | US
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Telephone | 843-475-6638
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 9309742
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License Number State | FL
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