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General NPI Number Information
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NPI Number | 1174503940
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Entity Type | Individual
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Provider Name | BRADLEY W. HEFFNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 112 N 7TH ST
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1720
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Country | US
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Telephone | 717-267-7164
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Fax | 717-267-7414
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Provider Business Mailing Address
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Address Line | 785 5TH AVE STE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4232
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Country | US
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Telephone | 717-263-9555
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D68209
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101233096
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A102127
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD439330
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License Number State | PA
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