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General NPI Number Information
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NPI Number | 1538387576
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Entity Type | Individual
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Provider Name | CONNIE LEE HAYES LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1373 E MOREHEAD ST STE 12
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City | CHARLOTTE
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State | NC
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Zip | 28204-2900
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Country | US
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Telephone | 704-617-4439
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Fax | 704-523-1878
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Provider Business Mailing Address
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Address Line | 3201 SELWYN AVE
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City | CHARLOTTE
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State | NC
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Zip | 28209-3323
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Country | US
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Telephone | 704-617-4439
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Fax | 704-523-1878
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3192
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License Number State | NC
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