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General NPI Number Information
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NPI Number | 1184557787
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Entity Type | Individual
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Provider Name | ALYSSA PAIGE HEINLEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 201 FRONT ST
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City | BEREA
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State | OH
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Zip | 44017-1998
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Country | US
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Telephone | 440-826-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 W 118TH TER APT 7
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City | OVERLAND PARK
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State | KS
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Zip | 66210-3154
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Country | US
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Telephone | 614-569-9992
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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