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General NPI Number Information
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NPI Number | 1114571932
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Entity Type | Individual
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Provider Name | SARAH J HAYDEN LPAT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 4414 CHURCHMAN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1152
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Country | US
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Telephone | 502-588-6449
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Fax |
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Provider Business Mailing Address
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Address Line | 4414 CHURCHMAN AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1152
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Country | US
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Telephone | 502-588-6449
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 114165
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 114165
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License Number State | KY
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