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General NPI Number Information
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NPI Number | 1679780068
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Entity Type | Individual
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Provider Name | STEVEN R. HEATH MA IMFT
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 145 MAPLEWOOD DR
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City | JEFFERSON
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State | OH
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Zip | 44047-1420
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Country | US
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Telephone | 440-228-1511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 92
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City | JEFFERSON
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State | OH
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Zip | 44047-0092
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Country | US
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Telephone | 440-228-1511
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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 | F079
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License Number State | OH
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