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General NPI Number Information
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NPI Number | 1871263483
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Entity Type | Individual
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Provider Name | JULIE MARIE HAYES DMD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 7450 INDIO AVE
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-6044
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Country | US
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Telephone | 801-390-8741
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Fax |
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Provider Business Mailing Address
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Address Line | 11239 W PHILLIP JACOB DR
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City | SURPRISE
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State | AZ
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Zip | 85378-6920
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Country | US
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Telephone | 801-390-8741
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D011171
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License Number State | AZ
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