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General NPI Number Information
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NPI Number | 1700904992
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Entity Type | Individual
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Provider Name | LINDA ANN HAZEL PH.D., LMFT, CAS
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 04/06/2015
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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 | 615-669-5910
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Fax | 615-523-1880
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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 | 615-669-5910
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Fax | 615-523-1880
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMT 543
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License Number State | TN
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