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General NPI Number Information
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NPI Number | 1114086030
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Entity Type | Individual
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Provider Name | NADINE HEUSNER
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 51 CHILDRENS WAY
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City | ENTERPRISE
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State | FL
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Zip | 32725-8135
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Country | US
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Telephone | 386-801-5596
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 MENDOCINO LN
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City | PORT ORANGE
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State | FL
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Zip | 32128-7408
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Country | US
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Telephone | 201-927-6930
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R052381-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW12877
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License Number State | FL
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