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General NPI Number Information
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NPI Number | 1104986488
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Entity Type | Individual
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Provider Name | LORI HAYES MS
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Gender | Female
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 521 N ARGONNE, BUILDING B, SUITE 105
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-2868
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Country | US
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Telephone | 509-483-1866
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Fax | 509-483-1876
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Provider Business Mailing Address
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Address Line | 521 N ARGONNE, BUILDING B, SUITE 105
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City | SPOKANE VALLEY
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State | WA
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Zip | 99212-2868
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Country | US
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Telephone | 509-483-1866
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Fax | 509-483-1876
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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 | LW00008613
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License Number State | WA
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