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General NPI Number Information
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NPI Number | 1932525177
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Entity Type | Organization
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Legal Business Name | SARAH J HALEY PH.D. PC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 7021 KEWANEE AVE UNIT 2104
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City | LUBBOCK
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State | TX
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Zip | 79424-4725
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Country | US
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Telephone | 806-687-9414
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Fax | 806-687-9415
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Provider Business Mailing Address
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Address Line | 7021 KEWANEE AVE UNIT 2104
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City | LUBBOCK
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State | TX
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Zip | 79424-7049
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Country | US
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Telephone | 806-687-9414
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/PRESIDENT OF CORP.
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Name | DR. SARAH JANE HALEY
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Credential | PH.D.
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Telephone | 806-687-9414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32013
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License Number State | TX
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