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General NPI Number Information
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NPI Number | 1023294188
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Entity Type | Individual
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Provider Name | SARAH MARIE HEFFEL
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Gender | Female
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 19680 S 188TH ST
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City | QUEEN CREEK
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State | AZ
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Zip | 85242-7067
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Country | US
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Telephone | 480-274-7184
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Fax |
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Provider Business Mailing Address
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Address Line | 2935 S RECKER RD
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City | GILBERT
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State | AZ
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Zip | 85295-7846
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Country | US
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Telephone | 480-274-7814
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 3993604
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License Number State | AZ
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