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General NPI Number Information
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NPI Number | 1942670377
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Entity Type | Individual
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Provider Name | CHRIS HAZEL LPC
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Gender | Male
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 136 E SAN ANTONIO ST # 103
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City | SAN MARCOS
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State | TX
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Zip | 78666-5509
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Country | US
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Telephone | 512-620-1401
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1707
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City | KYLE
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State | TX
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Zip | 78640-1707
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Country | US
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Telephone | 208-947-3382
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 78045
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License Number State | TX
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