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General NPI Number Information
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NPI Number | 1013026244
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Entity Type | Individual
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Provider Name | DOUGLAS P HEIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 330 PEACHTREE ST SUITE 2
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City | JESUP
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State | GA
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Zip | 31545-0244
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Country | US
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Telephone | 912-427-6915
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Fax | 912-427-4455
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Provider Business Mailing Address
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Address Line | 320 PEACHTREE ST
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City | JESUP
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State | GA
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Zip | 31545-0244
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Country | US
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Telephone | 912-427-7790
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Fax | 912-427-7707
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25763
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License Number State | GA
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