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General NPI Number Information
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NPI Number | 1518681139
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Entity Type | Individual
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Provider Name | HEENA ALI APRN
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Gender | Female
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 3901A SPICEWOOD SPRINGS RD
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City | AUSTIN
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State | TX
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Zip | 78759-8723
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Country | US
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Telephone | 337-991-9276
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Fax | 337-943-0846
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Provider Business Mailing Address
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Address Line | 1509 DULLES DR
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City | LAFAYETTE
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State | LA
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Zip | 70506-3718
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Country | US
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Telephone | 337-991-9276
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Fax | 379-430-8463
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1088285
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1088285
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License Number State | TX
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