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General NPI Number Information
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NPI Number | 1003005950
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Entity Type | Individual
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Provider Name | HEIDI WORTH M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 291 HUFF DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546-7370
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Country | US
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Telephone | 910-347-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 117 PARTRIDGE DR
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City | NEW BERN
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State | NC
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Zip | 28562-8698
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Country | US
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Telephone | 970-390-6681
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 46106
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 112090
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 2022-00969
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License Number State | NC
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