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General NPI Number Information
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NPI Number | 1679826614
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Entity Type | Individual
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Provider Name | SCOTT W. HEATON LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 9000 GLACIER HWY STE 304
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City | JUNEAU
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State | AK
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Zip | 99801-8097
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Country | US
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Telephone | 907-723-5736
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Fax |
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Provider Business Mailing Address
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Address Line | 9391 RIVERCOURT WAY
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City | JUNEAU
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State | AK
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Zip | 99801-9630
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Country | US
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Telephone | 907-957-7404
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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 | AKMFT273
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License Number State | AK
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