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General NPI Number Information
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NPI Number | 1467643007
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Entity Type | Individual
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Provider Name | HEATHER LEA JOURNEYCAKE A.P.R.N., CPNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/10/2014
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Provider Practice Location Address
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Address Line | 9727 SPRING GREEN BLVD STE 900
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City | KATY
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State | TX
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Zip | 77494-4576
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Country | US
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Telephone | 918-789-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 26011 STERLING STONE LN
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City | KATY
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State | TX
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Zip | 77494-0733
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Country | US
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Telephone | 918-724-1846
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 798505
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 79137
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License Number State | OK
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