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General NPI Number Information
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NPI Number | 1073613949
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Entity Type | Individual
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Provider Name | HEATHER MARGARET NEELEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 905 E MARTIN LUTHER KING JR DR SUITE 430
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-4864
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Country | US
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Telephone | 727-446-8866
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Fax | 727-446-2277
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Provider Business Mailing Address
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Address Line | 905 E MARTIN LUTHER KING JR DR SUITE 430
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-4864
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Country | US
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Telephone | 727-446-8866
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Fax | 727-446-2277
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME91575
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License Number State | FL
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