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General NPI Number Information
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NPI Number | 1831147941
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Entity Type | Individual
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Provider Name | WENDELIN S HAYES D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 TECHNOLOGY SQUARE NOVARTIS INSTITUTE FOR BIO MEDICAL RESEA
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City | CAMBRIDGE
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State | MA
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Zip | 02139
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Country | US
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Telephone | 617-871-3219
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Fax |
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Provider Business Mailing Address
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Address Line | 5009 CEDAR CROFT DRIVE
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City | BETHESDA
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State | MD
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Zip | 20814
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Country | US
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Telephone | 617-871-3219
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 223979
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License Number State | MA
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