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General NPI Number Information
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NPI Number | 1215051321
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Entity Type | Individual
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Provider Name | JANICE HECKMAN L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 1023 21ST ST STE 800 SUITE 800
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City | GALVESTON
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State | TX
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Zip | 77550-4622
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Country | US
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Telephone | 409-515-0618
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Fax |
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Provider Business Mailing Address
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Address Line | 5318 AVENUE M
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City | SANTA FE
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State | TX
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Zip | 77510-8711
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Country | US
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Telephone | 409-925-4479
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 003906
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License Number State | TX
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