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General NPI Number Information
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NPI Number | 1205168226
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Entity Type | Individual
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Provider Name | KRISTIE LYNE HAYES LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 1012 14TH ST NW 1000
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City | WASHINGTON
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State | DC
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Zip | 20005-3406
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Country | US
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Telephone | 202-737-2554
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Fax |
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Provider Business Mailing Address
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Address Line | 450 MASSACHUSETTS AVE NW 1214
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City | WASHINGTON
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State | DC
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Zip | 20001-6200
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Country | US
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Telephone | 239-560-4932
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50078836
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License Number State | DC
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