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General NPI Number Information
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NPI Number | 1023136504
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Entity Type | Individual
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Provider Name | JANE ELIZABETH AMLING-HEIKEN JANE HEIKEN PSYD LMF
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4938 E. YALE STREET SUITE 104
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City | FRESNO
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State | CA
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Zip | 93703
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Country | US
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Telephone | 559-367-2840
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Fax | 559-456-6015
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Provider Business Mailing Address
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Address Line | 4574 N QUAIL LAKE DR
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City | CLOVIS
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State | CA
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Zip | 93619-4630
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Country | US
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Telephone | 559-367-2840
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Fax | 559-292-6840
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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 | MFC33246
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License Number State | CA
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