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General NPI Number Information
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NPI Number | 1528234150
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Entity Type | Individual
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Provider Name | PEARL DELIGHT HEPPNER LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/04/2008
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 2610 W SHAW LN SUITE 104
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City | FRESNO
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State | CA
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Zip | 93711-2775
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Country | US
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Telephone | 559-437-3710
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Fax | 559-437-3720
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Provider Business Mailing Address
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Address Line | PO BOX 4304
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City | FRESNO
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State | CA
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Zip | 93744-4304
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Country | US
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Telephone | 559-437-3710
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Fax | 559-437-3720
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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 | MFC40217
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License Number State | CA
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