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General NPI Number Information
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NPI Number | 1184659914
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Entity Type | Individual
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Provider Name | LOUIS HEIT MFT, LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/01/2013
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Provider Practice Location Address
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Address Line | 2945 HARDING ST STE. 110
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City | CARLSBAD
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State | CA
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Zip | 92008-1818
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Country | US
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Telephone | 760-613-9136
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Fax | 760-942-7236
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Provider Business Mailing Address
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Address Line | PO BOX 235131
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City | ENCINITAS
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State | CA
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Zip | 92023-5131
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Country | US
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Telephone | 760-613-9136
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Fax | 760-942-7236
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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 | LCS16404
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License Number State | CA
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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 | MFC27844
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License Number State | CA
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