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General NPI Number Information
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NPI Number | 1598125080
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Entity Type | Individual
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Provider Name | HEIDI K PLUMHOFF C.R.M, B.S.W
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Gender | Female
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Dates
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Enumeration Date | 02/26/2016
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 1601 E 4TH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-3713
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Country | US
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Telephone | 360-397-8246
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 NE BRIDGECREEK AVE APT H75
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City | VANCOUVER
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State | WA
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Zip | 98664-1184
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Country | US
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Telephone | 971-222-9734
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | WA
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