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NPI 1528115136

NPI 1528115136 : DENISE MARIE HEIN LMFT : EAGAN, MN

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General NPI Number Information
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    NPI Number           |    1528115136
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    Entity Type          |    Individual 
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    Provider Name        |    DENISE MARIE HEIN LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/04/2007
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    Last Update Date     |    01/23/2022
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Provider Practice Location Address
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    Address Line         |    1760 BEECHER DR 
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    City                 |    EAGAN
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    State                |    MN
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    Zip                  |    55122-2430
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    Country              |    US
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    Telephone            |    952-201-7831
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1760 BEECHER DR 
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    City                 |    EAGAN
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    State                |    MN
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    Zip                  |    55122-2430
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    Country              |    US
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    Telephone            |    952-201-7831
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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       |    1668
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    000288
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    License Number State |    IA
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