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General NPI Number Information
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NPI Number | 1093000820
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Entity Type | Individual
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Provider Name | PATRICIA ANN HAY-HOLEN MS.ED, PLMHP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2011
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 1319 E 45TH ST APT. D11
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City | KEARNEY
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State | NE
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Zip | 68847-4220
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Country | US
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Telephone | 308-455-0145
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 E. 45TH STREET APT. D11
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City | KEARNEY
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State | NE
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Zip | 68847
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Country | US
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Telephone | 308-455-0145
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9411
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License Number State | NE
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