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General NPI Number Information
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NPI Number | 1932331386
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Entity Type | Individual
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Provider Name | HEIDI HERMAN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2009
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2558 DINIUS RD
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City | TECUMSEH
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State | MI
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Zip | 49286
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Country | US
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Telephone | 517-605-8568
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Fax |
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Provider Business Mailing Address
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Address Line | 2558 DINIUS RD
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City | TECUMSEH
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State | MI
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Zip | 49286-9200
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Country | US
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Telephone | 517-605-8568
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Fax | 517-423-6668
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4704377953
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License Number State | MI
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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 | APRN.CNP.0034800
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801089252
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License Number State | MI
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