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General NPI Number Information
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NPI Number | 1487393609
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Entity Type | Individual
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Provider Name | HEIDI LYNN HEBL
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Gender | Female
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 1001 S RAISINVILLE RD
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City | MONROE
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State | MI
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Zip | 48161-9754
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Country | US
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Telephone | 734-384-0314
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Fax |
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Provider Business Mailing Address
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Address Line | 35605 MARGARET ST APT 303
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City | ROMULUS
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State | MI
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Zip | 48174-3371
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Country | US
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Telephone | 734-929-7863
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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