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General NPI Number Information
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NPI Number | 1346452935
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Entity Type | Individual
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Provider Name | ANDREW D HEISER DC
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 9020 N SKYVIEW AVE
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City | KANSAS CITY
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State | MO
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Zip | 64154-8501
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Country | US
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Telephone | 816-505-2021
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Fax | 816-505-2020
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Provider Business Mailing Address
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Address Line | 15315 COUNTRY LN
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City | KEARNEY
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State | MO
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Zip | 64060-8005
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Country | US
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Telephone | 816-628-4634
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2007000967
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License Number State | MO
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