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General NPI Number Information
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NPI Number | 1831275726
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Entity Type | Individual
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Provider Name | ELIZABETH HEDDEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 11550 FUQUA ST STE 560
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City | HOUSTON
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State | TX
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Zip | 77034-4907
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Country | US
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Telephone | 281-922-7333
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Fax | 281-922-7369
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Provider Business Mailing Address
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Address Line | 11550 FUQUA ST STE 560
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City | HOUSTON
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State | TX
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Zip | 77034-4599
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Country | US
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Telephone | 281-922-7333
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Fax | 281-922-7369
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | H6282
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License Number State | TX
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