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General NPI Number Information
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NPI Number | 1003054172
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Entity Type | Individual
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Provider Name | PATRICIA MOLLIE HAYEK L.I.S.W.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2009
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 123 N LINN ST SUITE 2A
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City | IOWA CITY
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State | IA
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Zip | 52245-2143
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Country | US
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Telephone | 319-337-3357
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Fax |
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Provider Business Mailing Address
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Address Line | 123 N LINN ST SUITE 2A
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City | IOWA CITY
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State | IA
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Zip | 52245-2143
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Country | US
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Telephone | 319-337-3357
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 00642
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License Number State | IA
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