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NPI 1356753065

NPI 1356753065 : HEATHER ALBERTY-SCHAFFER : VALLEY CITY, ND

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General NPI Number Information
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    NPI Number           |    1356753065
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER ALBERTY-SCHAFFER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/29/2014
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    Last Update Date     |    05/29/2014
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Provider Practice Location Address
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    Address Line         |    230 4TH ST NW ROOM 103
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    City                 |    VALLEY CITY
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    State                |    ND
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    Zip                  |    58072-2947
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    Country              |    US
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    Telephone            |    701-845-8521
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    Fax                  |    701-845-4281
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Provider Business Mailing Address
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    Address Line         |    230 4TH ST NW ROOM 103
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    City                 |    VALLEY CITY
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    State                |    ND
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    Zip                  |    58072-2947
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    Country              |    US
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    Telephone            |    701-845-8521
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    Fax                  |    701-845-4281
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    3641
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    License Number State |    ND
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