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General NPI Number Information
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NPI Number | 1154029072
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Entity Type | Organization
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Legal Business Name | HAYNES THERAPY GROUP, LLC
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 1217 WESTWOOD AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37405-2338
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Country | US
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Telephone | 423-718-5751
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Fax |
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Provider Business Mailing Address
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Address Line | 1217 WESTWOOD AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37405-2338
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CCC-SLP
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Name | MORGAN HAYNES
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Credential | MCD
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Telephone | 423-718-5751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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