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General NPI Number Information
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NPI Number | 1265514020
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Entity Type | Organization
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Legal Business Name | HEAL CORPORATION
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 103 BELVIEW RD
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City | LEESVILLE
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State | LA
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Zip | 71446-2902
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Country | US
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Telephone | 337-239-5209
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Fax | 337-239-9764
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Provider Business Mailing Address
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Address Line | 103 BELVIEW RD
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City | LEESVILLE
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State | LA
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Zip | 71446-2902
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Country | US
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Telephone | 337-239-5209
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Fax | 337-239-9764
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Authorized Official
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Title or Position | OWNER/DR.
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Name | DR. RALPH HENNESSEE
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Credential | DDS
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Telephone | 337-239-2509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2983
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5024
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 1223P0106X
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Taxonomy Name | Oral and Maxillofacial Pathology Dentistry
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License Number | 2367
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5060
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5330
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License Number State | LA
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