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General NPI Number Information
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NPI Number | 1336743152
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Entity Type | Individual
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Provider Name | HEIDI EDMUNDS LPC
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Gender | Female
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 5856 LARIAT LOOP
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City | TORRINGTON
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State | WY
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Zip | 82240-7621
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Country | US
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Telephone | 307-575-0078
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Fax |
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Provider Business Mailing Address
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Address Line | 5856 LARIAT LOOP
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City | TORRINGTON
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State | WY
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Zip | 82240-7621
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Country | US
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Telephone | 307-575-0078
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3364
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | TPMC3346
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 966
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC.0019423
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 966
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License Number State | WY
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