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General NPI Number Information
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NPI Number | 1023367315
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Entity Type | Individual
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Provider Name | JOEL HEINEY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/03/2012
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Last Update Date | 09/03/2012
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Provider Practice Location Address
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Address Line | 2901 F RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-5440
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Country | US
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Telephone | 970-248-9871
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Fax |
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Provider Business Mailing Address
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Address Line | 663 ALEXIA CT
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-4828
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Country | US
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Telephone | 913-515-3628
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19638
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License Number State | CO
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