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General NPI Number Information
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NPI Number | 1700051026
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Entity Type | Individual
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Provider Name | JANET A HEIKES SULLIVAN MS
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Gender | Female
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 5900 MEMORIAL DR 216-C
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City | HOUSTON
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State | TX
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Zip | 77007-8004
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Country | US
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Telephone | 847-946-2795
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Fax |
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Provider Business Mailing Address
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Address Line | 810 OLIVE ST
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City | HOUSTON
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State | TX
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Zip | 77007-5753
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Country | US
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Telephone | 847-946-2795
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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 | 180005834
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 73428
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP 2357
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License Number State | MN
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