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NPI 1336143031

NPI 1336143031 : MICHAEL H. HEIT MD : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1336143031
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL H. HEIT MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/09/2005
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    Last Update Date     |    08/11/2022
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Provider Practice Location Address
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    Address Line         |    1633 N. CAPITOL AVENUE SUITE 436
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46202-1264
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    Country              |    US
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    Telephone            |    317-962-6603
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    Fax                  |    317-962-2049
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Provider Business Mailing Address
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    Address Line         |    250 N SHADELAND AVE STE 436 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46219-4959
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    Country              |    US
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    Telephone            |    
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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        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    01068201A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    30391
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    01068201A
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    License Number State |    IN
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Taxonomy #4
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    Taxonomy Code        |    207VF0040X
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    Taxonomy Name        |    Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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    License Number       |    91850
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    License Number State |    GA
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