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General NPI Number Information
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NPI Number | 1538017066
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Entity Type | Individual
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Provider Name | HEIDI KAY MIDDLETON
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 47950 DUNE PALMS RD
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City | LA QUINTA
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State | CA
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Zip | 92253-4000
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Country | US
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Telephone | 760-777-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 106 ROMANZA LN
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City | PALM DESERT
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State | CA
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Zip | 92211-0775
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Country | US
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Telephone | 760-218-3833
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-16997
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License Number State | CA
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