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General NPI Number Information
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NPI Number | 1295237717
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Entity Type | Individual
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Provider Name | HAYDEN WILLIAM BABBY
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Gender | Male
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 1601 E FOURTH PLAIN BLVD STE 222
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 360-550-1745
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Fax |
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Provider Business Mailing Address
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Address Line | 14204 NE 50TH ST
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City | VANCOUVER
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State | WA
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Zip | 98682-6332
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Country | US
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Telephone | 360-521-9351
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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