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General NPI Number Information
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NPI Number | 1295598480
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Entity Type | Individual
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Provider Name | HEIDI HEIN
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Gender | Female
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 8637 40TH CIR E
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City | PALMETTO
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State | FL
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Zip | 34221-2068
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Country | US
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Telephone | 608-764-0942
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1332
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City | ELLENTON
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State | FL
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Zip | 34222-1332
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Country | US
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Telephone | 608-764-0942
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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