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General NPI Number Information
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NPI Number | 1902738602
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Entity Type | Individual
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Provider Name | STACIE HEIER
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Gender | Female
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Dates
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Enumeration Date | 05/29/2026
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Last Update Date | 05/29/2026
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Provider Practice Location Address
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Address Line | 155 E PINE ST
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City | LAKE MILLS
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State | WI
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Zip | 53551-1103
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Country | US
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Telephone | 920-648-2338
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Fax |
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Provider Business Mailing Address
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Address Line | 120 E LAKE PARK PL
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City | LAKE MILLS
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State | WI
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Zip | 53551-1498
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Country | US
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Telephone | 920-648-2215
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Fax | 920-648-5795
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | WI
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