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General NPI Number Information
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NPI Number | 1477899573
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Entity Type | Individual
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Provider Name | BEAUL T. HAYNES
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Gender | Male
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 719 S CAPITOL ST
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City | GUTHRIE
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State | OK
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Zip | 73044-5307
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Country | US
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Telephone | 405-990-4298
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Fax | 405-241-7038
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Provider Business Mailing Address
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Address Line | 719 S CAPITOL ST
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City | GUTHRIE
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State | OK
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Zip | 73044-5307
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Country | US
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Telephone | 405-990-4298
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Fax | 405-241-7038
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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