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General NPI Number Information
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NPI Number | 1124454160
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Entity Type | Organization
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Legal Business Name | RF HEIKENS ENTERPRISES, INC
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 3 MONROE PKWY SUITE U
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-1486
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Country | US
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Telephone | 503-387-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 15624 SW 82ND AVE
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City | TIGARD
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State | OR
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Zip | 97224-7513
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Country | US
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Telephone | 503-680-4108
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROGER HEIKENS
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Credential |
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Telephone | 503-680-4108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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