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General NPI Number Information
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NPI Number | 1922729854
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Entity Type | Individual
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Provider Name | MS. KEISHA L HAYES
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 8 S MICHIGAN AVE STE 2300
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City | CHICAGO
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State | IL
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Zip | 60603-3330
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Country | US
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Telephone | 773-980-9499
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Fax |
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Provider Business Mailing Address
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Address Line | 10809 S KENNETH AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-5724
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Country | US
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Telephone | 773-647-5654
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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 |
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License Number State |
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