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General NPI Number Information
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NPI Number | 1073708947
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Entity Type | Individual
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Provider Name | JESSICA HALEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 3388 AROOSTOOK ROAD
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City | EAGLE LAKE
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State | ME
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Zip | 04739
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Country | US
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Telephone | 207-492-1036
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Fax | 207-492-1830
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Provider Business Mailing Address
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Address Line | 38 BOONE RD
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City | MAPLETON
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State | ME
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Zip | 04757-4320
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Country | US
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Telephone | 207-764-1035
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Fax | 207-432-1830
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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 | LC10404
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License Number State | ME
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