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General NPI Number Information
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NPI Number | 1073430419
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Entity Type | Individual
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Provider Name | GINA MARIE HEINTSKILL
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 60 COLUMBIA ST STE 501
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City | ORLANDO
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State | FL
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Zip | 32806-1115
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Country | US
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Telephone | 407-515-2420
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Fax |
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Provider Business Mailing Address
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Address Line | 3090 NW 107TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3627
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PTT44790
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License Number State | FL
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