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NPI Code Detail

MEDICARE: MR. ANDREW MARSH HAYES M.A., CCC-A

MEDICARE: MR. ANDREW MARSH HAYES M.A., CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAUD00146RI

General Provider Information

NPI Number : 1821076118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW MARSH HAYES M.A., CCC-A
Provider Business Mailing Address
First Line : 1500 CALMING WATER DR
Second Line : UNIT 106
City : ORANGE PARK
State : FL
Zip : 32003-3418
Country : US
Telephone Number : 904-542-3500
Fax Number : 904-542-2842
Provider Business Practice Location Address
First Line : NAVAL HOSPITAL JACKSONVILLE
Second Line : 2080 CHILD STREET
City : JACKSONVILLE
State : FL
Zip : 32214-0001
Country : US
Telephone Number : 904-542-3500
Fax Number : 904-542-2842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 07/08/2007

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