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General NPI Number Information
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NPI Number | 1104435627
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Entity Type | Individual
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Provider Name | HEATHER ALBERTS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 600 N GRANT AVE
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City | ODESSA
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State | TX
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Zip | 79761-4503
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Country | US
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Telephone | 432-550-1100
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Fax | 432-580-2679
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Provider Business Mailing Address
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Address Line | 600 N GRANT AVE
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City | ODESSA
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State | TX
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Zip | 79761-4503
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Country | US
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Telephone | 432-550-1100
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Fax | 432-580-2679
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 69650
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License Number State | TX
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