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General NPI Number Information
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NPI Number | 1912551789
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Entity Type | Individual
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Provider Name | HEATHER LAURA O'FLAHERTY MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 328 PEBBLEBROOK LN
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City | GLENN HEIGHTS
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State | TX
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Zip | 75154-1851
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Country | US
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Telephone | 972-268-3096
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 LEIGHSFORD LN APT 11307
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City | ARLINGTON
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State | TX
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Zip | 76006-4182
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Country | US
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Telephone | 210-787-0207
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 79888
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License Number State | TX
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