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General NPI Number Information
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NPI Number | 1043290430
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Entity Type | Individual
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Provider Name | ETHAN HEIT MD
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 2950 CLEVELAND CLINIC BLVD
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City | WESTON
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State | FL
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Zip | 33331-3625
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Country | US
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Telephone | 954-659-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1282 NW 141ST AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2367
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Country | US
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Telephone | 954-885-4385
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME0086709
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License Number State | FL
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