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General NPI Number Information
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NPI Number | 1083430847
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Entity Type | Individual
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Provider Name | HEATHER FLEMING ED.S.
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Gender | Female
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 124 JOHN KING RD
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City | CRESTVIEW
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State | FL
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Zip | 32539-8306
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Country | US
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Telephone | 850-634-6020
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Fax |
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Provider Business Mailing Address
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Address Line | 5345 OLD RIVER RD
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City | BAKER
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State | FL
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Zip | 32531-9302
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Country | US
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Telephone | 303-596-6143
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1141
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License Number State | FL
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