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General NPI Number Information
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NPI Number | 1073577953
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Entity Type | Individual
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Provider Name | RICHARD JAMES HECKER PAC
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | CURA FOR THE WORLD OKLAHOMA CLINIC 1500 E. DEWEY AVE
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City | SAPULPA
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State | OK
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Zip | 74066-7406
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Country | US
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Telephone | 918-347-9221
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 RIDGE OAK RD
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City | SAPULPA
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State | OK
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Zip | 74066-8478
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Country | US
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Telephone | 918-312-9191
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 377-023
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2247
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License Number State | OK
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