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General NPI Number Information
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NPI Number | 1871389825
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Entity Type | Individual
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Provider Name | HEATHER PFAFF PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3201 33RD ST S
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City | FARGO
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State | ND
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Zip | 58104-8823
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Country | US
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Telephone | 701-365-4488
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Fax | 701-365-0727
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Provider Business Mailing Address
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Address Line | 3853 HIGHWAY 10
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City | TAPPEN
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State | ND
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Zip | 58487-9439
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Country | US
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Telephone |
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R34429
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202661
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License Number State | ND
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