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General NPI Number Information
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NPI Number | 1851125009
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Entity Type | Individual
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Provider Name | HAYLEY MAE CRIST FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/29/2024
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1500 N JAMES ST
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City | ROME
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State | NY
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Zip | 13440-2844
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Country | US
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Telephone | 315-338-7184
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Fax | 315-339-1975
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Provider Business Mailing Address
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Address Line | 245 AVERY LN
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City | ROME
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State | NY
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Zip | 13441-4237
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Country | US
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Telephone | 315-337-1200
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Fax | 315-245-3195
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355138
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 802171
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License Number State | NY
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