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General NPI Number Information
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NPI Number | 1003590506
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Entity Type | Individual
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Provider Name | HAYLEY MATNEY
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 4126 LOST TRL
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1501
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Country | US
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Telephone | 281-658-6114
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Fax |
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Provider Business Mailing Address
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Address Line | 13423 BLANCO RD # 850
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2187
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Country | US
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Telephone | 210-592-4808
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 86217
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License Number State | TX
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