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General NPI Number Information
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NPI Number | 1730514431
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Entity Type | Individual
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Provider Name | MICHAEL E HAYNES JR. LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 4600 BROADWAY
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City | SACRAMENTO
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State | CA
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Zip | 95820-1527
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Country | US
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Telephone | 279-842-0562
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 RILEY ST UNIT 223
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City | FOLSOM
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State | CA
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Zip | 95763-4010
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Country | US
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Telephone | 916-472-0364
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 94657
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License Number State | CA
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