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General NPI Number Information
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NPI Number | 1215859202
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Entity Type | Individual
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Provider Name | TONYA LEANN HEINEMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 2442 N NYESVILLE RD
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City | ROCKVILLE
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State | IN
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Zip | 47872-8123
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Country | US
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Telephone | 765-592-5380
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Fax |
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Provider Business Mailing Address
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Address Line | 2442 N NYESVILLE RD
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City | ROCKVILLE
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State | IN
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Zip | 47872-8123
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28262305A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT22007299
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.035792
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28262305A
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License Number State | IN
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