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General NPI Number Information
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NPI Number | 1811975782
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Entity Type | Individual
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Provider Name | MICHAEL NEIL HAYES LPC
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Gender | Male
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Dates
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Enumeration Date | 01/02/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 4142 ROBINHOOD RD
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City | WINSTON-SALEM
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State | NC
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Zip | 27106-4739
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Country | US
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Telephone | 336-924-3801
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Fax | 336-924-4641
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Provider Business Mailing Address
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Address Line | 4142 ROBINHOOD RD
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City | WINSTON-SALEM
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State | NC
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Zip | 27106-4739
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Country | US
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Telephone | 336-924-3801
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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 | 344
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 344
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License Number State | NC
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