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General NPI Number Information
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NPI Number | 1942690854
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Entity Type | Individual
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Provider Name | ALYSSA HINESLEY
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Gender | Female
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Dates
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Enumeration Date | 01/29/2015
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1181 NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3165
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Country | US
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Telephone | 615-206-8004
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Fax |
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Provider Business Mailing Address
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Address Line | 414 CARTEL CT
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City | LEBANON
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State | TN
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Zip | 37087-4434
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Country | US
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Telephone | 615-974-3053
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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 | 3307
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License Number State | TN
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