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General NPI Number Information
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NPI Number | 1932375243
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Entity Type | Individual
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Provider Name | HEIDI M FLEURY MSPT, CI
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Gender | Female
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 581 POQUONOCK AVE
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City | WINDSOR
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State | CT
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Zip | 06095-2202
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Country | US
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Telephone | 860-688-7211
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Fax | 860-688-5309
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Provider Business Mailing Address
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Address Line | 34 MONASTERY AVE
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-1515
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Country | US
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Telephone | 413-478-0564
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 007734
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License Number State | CT
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