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General NPI Number Information
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NPI Number | 1942579347
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Entity Type | Organization
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Legal Business Name | ANGELA HEBERT HAYDEN NP
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 400-4 COLLEGE AVE SUITE 3
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City | CLEMSON
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State | SC
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Zip | 29631-2925
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Country | US
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Telephone | 864-986-2370
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | CENTRAL
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State | SC
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Zip | 29630-0909
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Country | US
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Telephone | 704-640-8101
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MS. ANGELA HEBERT HAYDEN
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Credential | APRN
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Telephone | 704-640-8101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 3859
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License Number State | SC
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