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General NPI Number Information
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NPI Number | 1134496888
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Entity Type | Individual
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Provider Name | HEIDI L MULLER NP
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Gender | Female
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 1236 E ELIZABETH ST SUITE 2
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City | FORT COLLINS
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State | CO
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Zip | 80524-4000
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Country | US
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Telephone | 970-488-1668
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Fax | 970-472-9381
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Provider Business Mailing Address
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Address Line | 1236 E ELIZABETH ST SUITE 2
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City | FORT COLLINS
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State | CO
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Zip | 80524-4000
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Country | US
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Telephone | 970-488-1668
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Fax | 970-472-9381
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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 | 990209
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License Number State | CO
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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 | NP-990209
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License Number State | CO
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