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General NPI Number Information
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NPI Number | 1558839084
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Entity Type | Individual
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Provider Name | HEATHER RAE WARD APN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2018
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 70 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4928
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Country | US
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Telephone | 573-335-6671
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Fax | 573-339-0083
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Provider Business Mailing Address
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Address Line | 70 DOCTORS PARK
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4928
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Country | US
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Telephone | 573-335-6671
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Fax | 573-339-0083
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209018307
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License Number State | IL
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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 | 277001771
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License Number State | IL
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