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General NPI Number Information
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NPI Number | 1609195437
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Entity Type | Individual
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Provider Name | HEATHER DAWN BATALDEN MA, LPCC, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 13 LODATO AVENUE
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City | SAN MATEO
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State | CA
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Zip | 94403-8252
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Country | US
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Telephone | 650-513-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 455 ESPLANADE AVE APT # 1
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City | PACIFICA
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State | CA
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Zip | 94044
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Country | US
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Telephone | 650-513-6290
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC004862
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 112
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License Number State | CA
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