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General NPI Number Information
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NPI Number | 1033360235
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Entity Type | Individual
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Provider Name | ROBERT EUGENE HESTON M.A.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 3865 ROCKY RIVER DR
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City | CLEVELAND
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State | OH
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Zip | 44111-4114
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Country | US
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Telephone | 216-251-7071
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Fax |
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Provider Business Mailing Address
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Address Line | 8987 ROOT RD
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-4436
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Country | US
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Telephone | 440-724-2013
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Fax | 440-327-4569
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A138
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License Number State | OH
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