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General NPI Number Information
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NPI Number | 1023259876
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Entity Type | Individual
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Provider Name | HEIDI MARIE REUSCHLING DC
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Gender | Female
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Dates
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Enumeration Date | 03/07/2009
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 511 CHURCH ST
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City | VIDALIA
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State | GA
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Zip | 30474-4738
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Country | US
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Telephone | 912-538-0708
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Fax | 912-538-8318
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Provider Business Mailing Address
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Address Line | 511 CHURCH ST
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City | VIDALIA
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State | GA
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Zip | 30474-4738
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Country | US
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Telephone | 912-585-7124
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Fax | 912-538-8318
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR008450
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License Number State | GA
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