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General NPI Number Information
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NPI Number | 1659758076
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Entity Type | Individual
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Provider Name | NICOLE MARIE HELLER LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 18 EAST DUNDEE ROAD BUILDING 4, SUITE 210
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City | BARRINGTON
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State | IL
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Zip | 60010
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Country | US
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Telephone | 331-213-2325
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Fax |
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Provider Business Mailing Address
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Address Line | 1447 KINGS CT
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City | NAPERVILLE
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State | IL
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Zip | 60563-2106
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Country | US
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Telephone | 331-213-2325
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 208.000412
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.001409
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License Number State | IL
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