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General NPI Number Information
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NPI Number | 1417265778
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Entity Type | Individual
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Provider Name | MOLLY HAYES MFT
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Gender | Female
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 1240 S BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-5395
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Country | US
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Telephone | 215-699-3901
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Fax | 214-699-3909
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Provider Business Mailing Address
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Address Line | 4 COUNTRY BROOK DR
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2282
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Country | US
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Telephone | 215-718-5152
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MF000593
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License Number State | PA
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