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General NPI Number Information
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NPI Number | 1518363795
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Entity Type | Organization
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Legal Business Name | LINDA A. HAZEL
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Dates
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Enumeration Date | 11/14/2014
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 5050 THOROUGHBRED LN SUITE A
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City | BRENTWOOD
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State | TN
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Zip | 37027-4234
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Country | US
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Telephone | 615-838-1619
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Fax | 615-432-3027
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Provider Business Mailing Address
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Address Line | 3309 CAIN HARBOR DR
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City | NASHVILLE
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State | TN
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Zip | 37214-1189
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Country | US
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Telephone | 615-838-1619
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Fax | 615-432-3027
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Authorized Official
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Title or Position | LICENSED MARRIAGE AND FAMILY THERAP
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Name | DR. LINDA ANN HAZEL
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Credential | PH.D., LMFT
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Telephone | 615-669-5910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LMFT 543
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License Number State | UT
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