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General NPI Number Information
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NPI Number | 1912148958
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Entity Type | Individual
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Provider Name | TANISHA HAYES D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2009
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 498 TUSCAN AVE WILLIAM CAREY UNIVERSITY-COM BOX 197
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City | HATTIESBURG
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State | MS
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Zip | 39401-5461
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Country | US
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Telephone | 601-318-6749
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Fax | 601-318-6032
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Provider Business Mailing Address
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Address Line | 498 TUSCAN AVE WILLIAM CAREY UNIVERSITY-COM BOX 207
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City | HATTIESBURG
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State | MS
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Zip | 39401-5461
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Country | US
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Telephone | 601-318-6749
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Fax | 601-318-6032
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | OT012229
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 0102202723
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 0102202723
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License Number State | VA
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