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General NPI Number Information
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NPI Number | 1033505482
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Entity Type | Organization
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Legal Business Name | HERITAGE OF HEALTH, PLLC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 16700 N THOMPSON PEAK PKWY SUITE #260
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2384
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Country | US
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Telephone | 480-991-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 E 5TH ST #1429
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City | TEMPE
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State | AZ
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Zip | 85281-3390
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Country | US
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Telephone | 480-729-9589
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ERIC R JOHNSON
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Credential |
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Telephone | 480-729-9589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | AZ 12-1322
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License Number State | AZ
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