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General NPI Number Information
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NPI Number | 1154953040
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Entity Type | Individual
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Provider Name | HAYDEN LINDSEY LPC-INTERN
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Gender | Male
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 2407 MARLTON DR
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City | AUSTIN
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State | TX
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Zip | 78703-3820
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Country | US
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Telephone | 512-980-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 506 BLACKSON AVE UNIT B
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City | AUSTIN
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State | TX
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Zip | 78752-2615
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Country | US
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Telephone | 512-980-3838
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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 | 76661
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License Number State | TX
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