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General NPI Number Information
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NPI Number | 1265679336
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Entity Type | Individual
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Provider Name | VALERIE K HEIMBACH MS, RD, LDN
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Gender | Female
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 3110 HAMILTON BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18103-3630
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Country | US
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Telephone | 610-776-4304
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Fax |
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Provider Business Mailing Address
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Address Line | 541 LAFAYETTE AVE
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City | PALMERTON
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State | PA
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Zip | 18071-1620
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Country | US
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Telephone | 610-900-4080
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN003946
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License Number State | PA
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