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General NPI Number Information
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NPI Number | 1255397683
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Entity Type | Individual
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Provider Name | WILLIAM G HEOB M.S.CCC-A
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 7331 E OSBORN DR #245
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-949-1541
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Fax | 480-949-0342
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Provider Business Mailing Address
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Address Line | 7331 E OSBORN DR #245
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-949-1541
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Fax | 480-949-0342
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 815
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License Number State | AZ
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