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General NPI Number Information
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NPI Number | 1942409966
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Entity Type | Organization
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Legal Business Name | ARTHUR A. HALEY OD PSC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 68 WELLNESS LN
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City | CAMPBELLSVILLE
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State | KY
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Zip | 42718-7650
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Country | US
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Telephone | 270-469-4393
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Fax | 270-469-1050
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Provider Business Mailing Address
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Address Line | 68 WELLNESS LN
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City | CAMPBELLSVILLE
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State | KY
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Zip | 42718-7650
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Country | US
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Telephone | 270-469-4393
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Fax | 270-469-1050
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Authorized Official
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Title or Position | OWNER
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Name | ARTHUR ANDREW HALEY
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Credential | OD PSC
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Telephone | 270-469-4393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 1181DT
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License Number State | KY
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