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General NPI Number Information
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NPI Number | 1114478658
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Entity Type | Individual
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Provider Name | EMILY HEISHMAN FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 1197 AIRPORT RD
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City | MILFORD
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State | DE
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Zip | 19963-6491
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Country | US
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Telephone | 302-508-0541
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Fax | 302-202-5779
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Provider Business Mailing Address
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Address Line | 73 GREENTREE DR # 335
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City | DOVER
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State | DE
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Zip | 19904-7646
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Country | US
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Telephone | 302-508-0541
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Fax | 302-202-5779
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0000976
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010370
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | LG-0000976
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License Number State | DE
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