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General NPI Number Information
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NPI Number | 1174277792
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Entity Type | Individual
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Provider Name | HEATHER FEDORA MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 8360 W SAHARA AVE STE 230
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City | LAS VEGAS
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State | NV
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Zip | 89117-8945
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Country | US
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Telephone | 702-748-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 5937 ROUND CASTLE ST
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City | LAS VEGAS
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State | NV
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Zip | 89130-4947
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Country | US
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Telephone | 702-748-7442
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MI4066
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4898
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License Number State | NV
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