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General NPI Number Information
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NPI Number | 1154379659
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Entity Type | Individual
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Provider Name | MICHAEL JAMES HECK M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 7685 WINCHESTER RD STE 100
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City | MEMPHIS
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State | TN
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Zip | 38125-2202
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Country | US
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Telephone | 901-752-6963
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Fax | 901-759-4746
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Provider Business Mailing Address
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Address Line | 965 RIDGE LAKE BLVD STE 315
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City | MEMPHIS
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State | TN
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Zip | 38120-9401
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 12295
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License Number State | TN
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