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General NPI Number Information
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NPI Number | 1487460945
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Entity Type | Individual
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Provider Name | HARRISON CHRISTIAN HEYL III AMFT
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Gender | Male
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 4025 FOOTHILL RD
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1209
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Country | US
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Telephone | 805-335-0191
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Fax |
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Provider Business Mailing Address
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Address Line | 315 MEIGS RD STE A402
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City | SANTA BARBARA
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State | CA
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Zip | 93109-1900
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Country | US
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Telephone | 805-451-0308
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT117539
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License Number State | CA
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