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General NPI Number Information
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NPI Number | 1073675047
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Entity Type | Organization
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Legal Business Name | HEIM CHIROPRACTIC, PA
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 550 40TH AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3835
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Country | US
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Telephone | 651-482-9160
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Fax | 651-925-0053
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Provider Business Mailing Address
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Address Line | 550 40TH AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-3835
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Country | US
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Telephone | 651-482-9160
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Fax | 651-925-0053
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBORAH MARY HEIM
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Credential | D.C.
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Telephone | 651-482-9160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2712
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License Number State | MN
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