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General NPI Number Information
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NPI Number | 1881793842
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Entity Type | Individual
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Provider Name | KRISTEN NICOLE HAYWARD MD, MS
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE M/S R-5420
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-2057
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Fax | 206-987-5060
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Provider Business Mailing Address
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Address Line | 4800 SAND POINT WAY NE M/S R-5420
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-2057
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Fax | 206-987-5060
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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 | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | MD00043647
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License Number State | WA
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