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General NPI Number Information
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NPI Number | 1366583486
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Entity Type | Organization
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Legal Business Name | PATRICK H HERON MD PA
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 9290 SW 72ND ST SUITE 101
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City | MIAMI
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State | FL
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Zip | 33173-3236
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Country | US
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Telephone | 305-412-9825
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Fax | 305-412-9925
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Provider Business Mailing Address
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Address Line | 9290 SW 72ND ST SUITE 101
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City | MIAMI
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State | FL
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Zip | 33173-3236
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Country | US
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Telephone | 305-412-9825
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Fax | 305-412-9925
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Authorized Official
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Title or Position | M.D., P.A.
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Name | DR. PATRICK HYLTON HERON
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Credential | M.D.,P.A.,F.A.C.O.G.
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Telephone | 305-412-9825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME 83551
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License Number State | FL
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