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General NPI Number Information
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NPI Number | 1477651917
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Entity Type | Individual
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Provider Name | LAURA JOANNA HAYES ED.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2501 E PIEDMONT RD STE 103
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City | MARIETTA
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State | GA
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Zip | 30062-7753
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Country | US
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Telephone | 770-977-9201
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Fax | 877-656-2843
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Provider Business Mailing Address
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Address Line | 4290 BELLS FERRY RD NW STE 134
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City | KENNESAW
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State | GA
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Zip | 30144-1750
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Country | US
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Telephone | 770-977-9201
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Fax | 877-656-2843
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY001364
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 001364
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License Number State | GA
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