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General NPI Number Information
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NPI Number | 1518089580
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Entity Type | Individual
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Provider Name | HEATHER PIPES LPMA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 629 1ST AVE
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City | TWO HARBORS
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State | MN
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Zip | 55616-1505
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Country | US
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Telephone | 218-730-2344
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 E 1ST ST
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City | DULUTH
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State | MN
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Zip | 55805-2407
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Country | US
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Telephone | 218-730-2344
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP3111
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License Number State | MN
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