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General NPI Number Information
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NPI Number | 1285684571
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Entity Type | Organization
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Legal Business Name | HAYES RDG. CLINIC D/B/A ATLANTA COUNSELLING & EDUCATIONAL CONSULTANTS
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 1587 PHOENIX BLVD SUITE 5
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City | ATLANTA
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State | GA
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Zip | 30349-5540
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Country | US
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Telephone | 770-997-7070
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Fax | 770-997-7860
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Provider Business Mailing Address
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Address Line | 1587 PHOENIX BLVD SUITE 5
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City | ATLANTA
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State | GA
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Zip | 30349-5540
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Country | US
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Telephone | 770-997-7070
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Fax | 770-997-7860
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANE KELLETT HAYES
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Credential | PH.D.
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Telephone | 77099707070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3845
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License Number State | GA
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