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General NPI Number Information
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NPI Number | 1023163276
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Entity Type | Individual
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Provider Name | HEATHER FIEDLER M.A., N.P.C., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | RT 390 BOX 41
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City | MOUNTAINHOME
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State | PA
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Zip | 18342
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Country | US
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Telephone | 570-595-0950
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Fax |
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Provider Business Mailing Address
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Address Line | 13 STONES THROW
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-9649
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Country | US
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Telephone | 570-236-8838
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Fax | 570-895-9266
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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 | PC003209
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License Number State | PA
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