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General NPI Number Information
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NPI Number | 1063094803
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Entity Type | Individual
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Provider Name | JENNIFER MELANIE HEIBIG DO
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1245 S CEDAR CREST BLVD STE 201
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City | ALLENTOWN
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State | PA
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Zip | 18103-6258
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Country | US
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Telephone | 610-402-4870
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 MACK BLVD FL 4
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City | ALLENTOWN
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State | PA
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Zip | 18103-5622
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OT020564
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS024677
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License Number State | PA
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