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General NPI Number Information
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NPI Number | 1831061787
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Entity Type | Individual
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Provider Name | HEATHER DAWN HOUTZ PMHNP MSN
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Gender | Female
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 1112 LINDEN ST
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-7707
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Country | US
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Telephone | 573-334-5513
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 SCENIC DR
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City | FESTUS
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State | MO
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Zip | 63028-1146
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Country | US
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Telephone | 720-830-2759
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2025040041
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License Number State | MO
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