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General NPI Number Information
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NPI Number | 1366409765
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Entity Type | Individual
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Provider Name | MARGARET HEFFERNAN N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 1125 MONTE LARGO DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-1823
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Country | US
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Telephone | 505-508-4904
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Fax | 505-508-4904
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Provider Business Mailing Address
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Address Line | 1125 MONTE LARGO DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-1823
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Country | US
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Telephone | 505-508-4904
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Fax | 505-508-4904
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R66359
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License Number State | NM
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