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General NPI Number Information
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NPI Number | 1548682107
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Entity Type | Individual
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Provider Name | HEATHER MARIE CRIDER N.D.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 11518 E APACHE TRL STE 117
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-3531
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Country | US
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Telephone | 480-788-1629
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Fax |
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Provider Business Mailing Address
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Address Line | 19 1/2 HILL AVE
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City | ORLANDO
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State | FL
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Zip | 32801-2926
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Country | US
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Telephone | 407-883-7444
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1712
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License Number State | OR
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