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General NPI Number Information
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NPI Number | 1962650382
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Entity Type | Organization
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Legal Business Name | HAYES ENDOCRINE & DIABETES CENTER
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 247 W MAIN ST STE M
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-7321
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Country | US
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Telephone | 615-320-1620
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Fax |
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Provider Business Mailing Address
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Address Line | 501 28TH AVE N
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City | NASHVILLE
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State | TN
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Zip | 37209-4001
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Country | US
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Telephone | 615-320-1620
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Fax | 615-327-0643
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA LYNN HAYES
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Credential | MD
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Telephone | 615-324-1943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD25278
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License Number State | TN
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