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General NPI Number Information
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NPI Number | 1699131185
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Entity Type | Organization
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Legal Business Name | JANET HEURING
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 133 KEYBRIDGE DR STE A
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City | MORRISVILLE
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State | NC
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Zip | 27560-5915
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Country | US
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Telephone | 919-749-5724
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 NEW BERN AVE SUITE 130-183
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City | RALEIGH
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State | NC
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Zip | 27610-1549
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Country | US
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Telephone | 919-749-5724
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST, ADDICTION SP
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Name | MS. JANET HEURING
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Credential | LCAS, LPA, HSP-PA
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Telephone | 919-749-5724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LCAS-21893
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPA-4887
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License Number State | NC
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