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General NPI Number Information
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NPI Number | 1063426195
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Entity Type | Individual
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Provider Name | KIMBERLY ANN HELLER MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 9 LIVINGSTON ST SUITE 4N
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City | POUGHKEEPSIE
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State | NY
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Zip | 12601-4719
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Country | US
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Telephone | 845-431-6800
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Fax | 845-431-6821
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Provider Business Mailing Address
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Address Line | 1351 ROUTE 55 SUITE 200
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-5108
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Country | US
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Telephone | 845-475-9661
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Fax | 845-475-9938
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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 | MD043742L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MD043742L
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License Number State | PA
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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 | 250943
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 250943
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License Number State | NY
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