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General NPI Number Information
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NPI Number | 1710740873
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Entity Type | Individual
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Provider Name | SARA HAYES LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/03/2024
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Provider Practice Location Address
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Address Line | 6705 NORTH AVE
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City | MIDDLETON
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State | WI
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Zip | 53562-2732
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Country | US
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Telephone | 608-709-6768
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 620144
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City | MIDDLETON
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State | WI
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Zip | 53562-0144
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Country | US
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Telephone | 608-709-6768
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11575-123
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License Number State | WI
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