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General NPI Number Information
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NPI Number | 1588421481
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Entity Type | Individual
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Provider Name | NADIA K HEFFNER
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Gender | Female
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 12129 N STATE HWY 14 STE 12C
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City | CEDAR CREST
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State | NM
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Zip | 87008-9492
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Country | US
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Telephone | 505-600-9599
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Fax | 224-632-1738
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Provider Business Mailing Address
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Address Line | 9 TUNGLEY WOOD
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City | ESTANCIA
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State | NM
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Zip | 87016-8501
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Country | US
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Telephone | 505-600-9599
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Fax | 224-632-1738
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-2024-0005
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License Number State | NM
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