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General NPI Number Information
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NPI Number | 1891395026
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Entity Type | Individual
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Provider Name | HAYLEY NASRALLAH MA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 223 ALBEMARLE AVE SW
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City | ROANOKE
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State | VA
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Zip | 24016-4716
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Country | US
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Telephone | 540-227-0045
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Fax | 540-779-7499
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Provider Business Mailing Address
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Address Line | 223 ALBEMARLE AVE SW
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City | ROANOKE
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State | VA
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Zip | 24016-4716
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Country | US
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Telephone | 540-227-0045
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Fax | 540-779-7499
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8702
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License Number State | CA
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