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General NPI Number Information
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NPI Number | 1285526582
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Entity Type | Individual
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Provider Name | HEIDI LYNN PATCHEAK LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 18811 HUNTINGTON ST STE 210
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6004
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Country | US
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Telephone | 714-206-8017
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Fax |
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Provider Business Mailing Address
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Address Line | 5891 CROUPIER DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-2107
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Country | US
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Telephone | 714-206-8017
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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 | 155516
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License Number State | CA
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