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General NPI Number Information
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NPI Number | 1316145600
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Entity Type | Individual
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Provider Name | DAVID N HEILBRONN PT
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Gender | Male
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13 OSSMAN DR
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City | POMONA
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State | NY
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Zip | 10970-2652
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Country | US
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Telephone | 914-671-4815
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Fax | 845-362-1148
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Provider Business Mailing Address
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Address Line | 112 E 37TH ST #5
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City | NEW YORK
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State | NY
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Zip | 10016-3028
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Country | US
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Telephone | 914-671-4815
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Fax | 212-686-6196
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 026552-1
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License Number State | NY
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