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General NPI Number Information
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NPI Number | 1417295221
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Entity Type | Individual
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Provider Name | LAURA HEIDLER
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Gender | Female
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 6100 SPRINT PKWY
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City | OVERLAND PARK
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State | KS
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Zip | 66211-1150
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Country | US
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Telephone | 816-237-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1707 STEPHENSON LN
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City | SPRING HILL
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State | TN
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Zip | 37174-7151
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Country | US
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Telephone | 219-588-9667
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 262
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License Number State | TN
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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 | 3958
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License Number State | TN
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