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General NPI Number Information
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NPI Number | 1619232782
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Entity Type | Individual
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Provider Name | HEIDI JACKSON M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 108 ROBIN RD STE 2004
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5035
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Country | US
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Telephone | 407-310-9853
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Fax |
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Provider Business Mailing Address
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Address Line | 8206 WOODSWORTH DR
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City | ORLANDO
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State | FL
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Zip | 32817-1542
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Country | US
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Telephone |
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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 | IMH 10015
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License Number State | FL
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