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General NPI Number Information
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NPI Number | 1376733352
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Entity Type | Organization
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Legal Business Name | JOE HAZEL COUNSELING SERVICES
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 274A W DEPOT ST
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City | ANGIER
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State | NC
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Zip | 27501-8861
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Country | US
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Telephone | 919-272-5881
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Fax | 919-329-9848
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Provider Business Mailing Address
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Address Line | 274A W DEPOT ST P.O. BOX 1893
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City | ANGIER
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State | NC
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Zip | 27501-8861
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Country | US
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Telephone | 919-272-5881
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Fax | 919-329-9848
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JOE WAYNE HAZEL
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Credential | LCAS/CCS
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Telephone | 919-272-5881
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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 | 596
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 596
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License Number State | NC
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