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General NPI Number Information
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NPI Number | 1568248771
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Entity Type | Individual
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Provider Name | BROOKE ASHLEY HAYDEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/04/2023
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 101 S LOCUST ST STE 602
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City | DENTON
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State | TX
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Zip | 76201-6159
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Country | US
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Telephone | 972-865-8782
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Fax |
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Provider Business Mailing Address
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Address Line | 2031 GREENSTONE TRL
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City | CARROLLTON
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State | TX
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Zip | 75010-4000
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Country | US
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Telephone | 972-999-3526
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 69711
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License Number State | TX
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