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General NPI Number Information
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NPI Number | 1205044872
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Entity Type | Individual
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Provider Name | SHANNON N HAYES PSYD, LMHC, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 941 KAMEHAMEHA HWY STE 204
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City | PEARL CITY
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State | HI
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Zip | 96782-2516
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Country | US
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Telephone | 832-661-6565
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Fax | 808-720-6239
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Provider Business Mailing Address
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Address Line | PO BOX 700305
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City | KAPOLEI
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State | HI
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Zip | 96709-0305
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Country | US
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Telephone | 832-661-6565
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Fax | 808-720-6239
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 | 538
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 482
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License Number State | HI
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