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General NPI Number Information
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NPI Number | 1821052481
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Entity Type | Individual
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Provider Name | VANESSA P HAYGOOD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 3200 NORTHLINE AVE SUITE 130
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City | GREENSBORO
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State | NC
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Zip | 27408-7616
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Country | US
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Telephone | 336-286-6565
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Fax | 336-286-6566
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Provider Business Mailing Address
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Address Line | 3200 NORTHLINE AVE SUITE 130
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City | GREENSBORO
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State | NC
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Zip | 27408-7616
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Country | US
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Telephone | 336-286-6565
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Fax | 336-286-6566
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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 | 25595
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License Number State | NC
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