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General NPI Number Information
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NPI Number | 1144297318
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Entity Type | Individual
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Provider Name | WARREN RICHARD HEYMANN MD
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 10000 SAGEMORE DR STE 10101
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City | MARLTON
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State | NJ
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Zip | 08053-3944
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Country | US
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Telephone | 856-342-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 10000 SAGEMORE DR STE 10101
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City | MARLTON
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State | NJ
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Zip | 08053-3944
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Country | US
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Telephone | 856-596-0111
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Fax | 856-596-7194
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 25MA0451770
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 25MA04517700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | 25MA0451770
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 25MA0451770
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License Number State | NJ
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