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General NPI Number Information
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NPI Number | 1396442943
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Entity Type | Individual
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Provider Name | LYNDSAY YOUNKIN HAYDEN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2023
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 14897 OLD HICKORY BLVD
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City | ANTIOCH
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State | TN
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Zip | 37013-4206
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Country | US
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Telephone | 615-403-8206
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Fax |
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Provider Business Mailing Address
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Address Line | 1832 TIVERTON PL
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City | BRENTWOOD
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State | TN
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Zip | 37027-1421
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Country | US
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Telephone | 859-333-7452
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-23-64116
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License Number State | TN
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