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General NPI Number Information
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NPI Number | 1447524848
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Entity Type | Individual
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Provider Name | LINDA A HAYWOOD MSW
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Gender | Female
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 35420 JOHN ST # 1046
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City | WAYNE
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State | MI
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Zip | 48184-2362
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Country | US
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Telephone | 734-444-7579
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Fax |
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Provider Business Mailing Address
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Address Line | 40315 MICHIGAN AVE # 1046
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City | CANTON
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State | MI
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Zip | 48188-2908
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Country | US
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Telephone | 734-799-1819
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801088635
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801088635
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License Number State | MI
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