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General NPI Number Information
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NPI Number | 1740723188
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Entity Type | Individual
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Provider Name | HEATHER L. OVERLAND NMD, LAC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2016
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 660 W CAPSTONE CT STE B
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City | HAYDEN
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State | ID
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Zip | 83835-8774
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Country | US
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Telephone | 208-295-9778
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Fax | 208-213-9369
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Provider Business Mailing Address
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Address Line | 660 W CAPSTONE CT STE B
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City | HAYDEN
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State | ID
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Zip | 83835-8774
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Country | US
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Telephone | 208-295-9778
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Fax | 509-992-1101
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 427
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC179695
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 60705361
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | MED-ACU-LIC-66544
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NMD-0028
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License Number State | ID
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Taxonomy #6
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT 60705355
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 4043
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License Number State | OR
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Taxonomy #8
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ACH-NAT-LIC-1627
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License Number State | MT
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