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General NPI Number Information
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NPI Number | 1871769729
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Entity Type | Individual
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Provider Name | HEIDI MICHELE LEWIN-MILLER LMFT, RD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 1110 CALIFORNIA BLVD SUITE E
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2949
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Country | US
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Telephone | 805-549-9778
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Fax | 805-549-9778
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Provider Business Mailing Address
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Address Line | 1110 CALIFORNIA BLVD SUITE E
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-2949
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Country | US
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Telephone | 805-549-9778
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Fax | 805-549-9778
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MFC35120
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | RD 675059
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License Number State | CA
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