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General NPI Number Information
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NPI Number | 1942088380
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Entity Type | Individual
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Provider Name | DENISE SUE HEBERLEIN LPC/A
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Gender | Female
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 418 BARR RD
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City | LEXINGTON
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State | SC
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Zip | 29072-2363
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Country | US
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Telephone | 217-440-5618
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Fax |
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Provider Business Mailing Address
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Address Line | 148 TENNIS VIEW CT
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City | LEXINGTON
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State | SC
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Zip | 29073-6894
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Country | US
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Telephone | 803-561-6801
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8247
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License Number State | SC
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