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General NPI Number Information
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NPI Number | 1134414279
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Entity Type | Individual
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Provider Name | HEIDI ANITA TIJSSELING DVM
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Gender | Female
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 06/16/2011
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Provider Practice Location Address
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Address Line | 803 READING ST
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City | FOLSOM
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State | CA
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Zip | 95630-3216
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Country | US
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Telephone | 916-985-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 205 POND VIEW LN
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City | NEWCASTLE
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State | CA
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Zip | 95658-9417
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Country | US
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Telephone | 916-769-4690
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 16363
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License Number State | CA
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