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General NPI Number Information
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NPI Number | 1508482480
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Entity Type | Individual
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Provider Name | HEATHER GLOVER LPC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 101 S LOCUST ST STE 602
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City | DENTON
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State | TX
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Zip | 76201-6159
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Country | US
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Telephone | 972-865-8782
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 N GRAPEVINE MILLS BLVD
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City | GRAPEVINE
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State | TX
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Zip | 76051-0971
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Country | US
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Telephone | 682-777-9142
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 82954
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License Number State | TX
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