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General NPI Number Information
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NPI Number | 1982919940
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Entity Type | Organization
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Legal Business Name | HAYMES FOOT AND ANKLE SPECIALISTS
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 999 ADAMS BLVD STE 102
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City | BOULDER CITY
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State | NV
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Zip | 89005-2245
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Country | US
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Telephone | 702-293-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 1785 CYPRESS LAKE CT
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City | HENDERSON
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State | NV
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Zip | 89012-6208
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Country | US
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Telephone | 858-945-8462
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CESAR HAYMES
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Credential | DPM
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Telephone | 858-945-8462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1003
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License Number State | NV
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