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NPI 1083802102

NPI 1083802102 : DANIEL EMERSON HECK D.P.M. : CORAL SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1083802102
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL EMERSON HECK D.P.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/15/2007
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    Last Update Date     |    10/15/2007
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Provider Practice Location Address
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    Address Line         |    473 NW 94TH WAY 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33071-6961
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    Country              |    US
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    Telephone            |    954-802-3153
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    473 NW 94TH WAY 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33071-6961
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    Country              |    US
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    Telephone            |    954-802-3153
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    PO3318
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    License Number State |    FL
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