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General NPI Number Information
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NPI Number | 1972578516
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Entity Type | Individual
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Provider Name | HENRY MILFRED HALEY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 4720 S I 10 SERVICE RD W STE 406
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City | METAIRIE
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State | LA
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Zip | 70001-1242
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Country | US
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Telephone | 504-456-3155
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Fax | 504-456-3113
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Provider Business Mailing Address
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Address Line | 925 JEFFERSON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70115-3026
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Country | US
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Telephone | 504-887-7660
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Fax | 504-887-7816
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 017686
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License Number State | LA
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