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General NPI Number Information
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NPI Number | 1760753834
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Entity Type | Individual
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Provider Name | MICHAEL R HEDDEN LMHC
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Gender | Male
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Dates
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Enumeration Date | 01/22/2012
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3971 N LECANTO HWY UNIT 640041
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City | BEVERLY HILLS
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State | FL
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Zip | 34464-7704
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Country | US
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Telephone | 352-325-3424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 640041
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City | BEVERLY HILLS
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State | FL
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Zip | 34464-0041
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Country | US
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Telephone | 352-325-3424
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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 | LPC12686
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7794
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License Number State | FL
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