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General NPI Number Information
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NPI Number | 1952404121
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Entity Type | Organization
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Legal Business Name | KATHERINE HEFFELFINGER, MA, LP, P.A.
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4650 FRANCE AVE S
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City | EDINA
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State | MN
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Zip | 55410-1752
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Country | US
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Telephone | 952-848-7489
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Fax | 952-848-0597
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Provider Business Mailing Address
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Address Line | 4650 FRANCE AVE S
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City | EDINA
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State | MN
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Zip | 55410-1752
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Country | US
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Telephone | 952-848-7489
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Fax | 952-848-0597
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KATHERINE HEFFELFINGER
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Credential | MA, LP
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Telephone | 952-848-7489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | LP#3339
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License Number State | MN
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