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General NPI Number Information
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NPI Number | 1144391970
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Entity Type | Individual
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Provider Name | JOAN GABRIELLA HEINSHEIMER MD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 400 EVELYN AVE SUITE 221
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City | ALBANY
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State | CA
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Zip | 94706-1372
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Country | US
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Telephone | 510-220-6668
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Fax | 510-778-9061
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Provider Business Mailing Address
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Address Line | 6159 BERNHARD AVE
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City | RICHMOND
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State | CA
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Zip | 94805-1230
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Country | US
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Telephone | 510-220-6668
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Fax | 510-778-9061
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G037147
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G037147
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License Number State | PA
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