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General NPI Number Information
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NPI Number | 1811122609
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Entity Type | Individual
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Provider Name | THADDEUS HEFFNER LMFT
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Gender | Male
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 367 RIVERSIDE DR STE. 107
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City | FRANKLIN
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State | TN
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Zip | 37064-8984
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Country | US
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Telephone | 615-472-1210
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Fax | 615-465-8495
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Provider Business Mailing Address
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Address Line | PO BOX 317
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City | FRANKLIN
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State | TN
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Zip | 37065-0317
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Country | US
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Telephone | 615-472-1210
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Fax | 615-465-8495
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 822
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License Number State | TN
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