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General NPI Number Information
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NPI Number | 1770052821
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Entity Type | Individual
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Provider Name | MARGARET J HEDELIUS LCPC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 17 12TH AVE S STE 201
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City | NAMPA
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State | ID
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Zip | 83651-3952
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Country | US
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Telephone | 208-570-7234
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Fax | 208-965-2052
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Provider Business Mailing Address
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Address Line | 17 12TH AVE S STE 201
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City | NAMPA
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State | ID
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Zip | 83651-3952
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Country | US
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Telephone | 208-570-7234
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Fax | 208-965-2052
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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 | LPC-6897
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8776
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License Number State | ID
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