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General NPI Number Information
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NPI Number | 1619914884
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Entity Type | Individual
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Provider Name | HEIDI SEALS LPC
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 515 22ND AVE
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City | MONROE
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State | WI
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Zip | 53566-1569
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Country | US
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Telephone | 608-324-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 515 22ND AVE
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City | MONROE
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State | WI
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Zip | 53566-1569
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Country | US
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Telephone | 608-324-2000
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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 | 180007088
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 7248-125
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7248
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License Number State | WI
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