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General NPI Number Information
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NPI Number | 1104213594
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Entity Type | Organization
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Legal Business Name | HECKERT HEALTH CENTER, LLC
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 109 N 29TH ST SUITE 6
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City | NORFOLK
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State | NE
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Zip | 68701-3251
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Country | US
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Telephone | 402-371-0263
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Fax | 402-379-2285
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Provider Business Mailing Address
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Address Line | 109 N 29TH ST SUITE 6
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City | NORFOLK
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State | NE
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Zip | 68701-3251
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Country | US
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Telephone | 402-371-0263
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Fax | 402-379-2285
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Authorized Official
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Title or Position | OWNER FAMILY NURSE PRACTITIONER
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Name | DR. WENDE LYN HECKERT
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Credential | APRN
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Telephone | 402-371-0263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 110268
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License Number State | NE
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