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General NPI Number Information
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NPI Number | 1184189821
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Entity Type | Individual
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Provider Name | ERIC ANTHONY HEIDEMANN DO
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Gender | Male
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 715 N KANSAS AVE STE 106
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City | HASTINGS
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State | NE
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Zip | 68901-4422
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Country | US
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Telephone | 402-462-2139
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Fax |
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Provider Business Mailing Address
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Address Line | 2314 HUDSON WAY APT 105
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City | HASTINGS
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State | NE
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Zip | 68901
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Country | US
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Telephone | 402-641-7720
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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 | OS17355
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 3016
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License Number State | NE
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