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General NPI Number Information
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NPI Number | 1376034207
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Entity Type | Individual
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Provider Name | KRISTEN RENAE HEYE MD
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Gender | Female
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Dates
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Enumeration Date | 05/26/2018
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | HOSPITAL AMERICANO , BASE NAVAL DE ROTA APARTADO DE CORREOS 33
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City | ROTA
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State | CADIZ
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Zip | 09645
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Country | ES
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Telephone | 806-340-8042
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 819 BOX 18
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City | FPO
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State | AE
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Zip | 09645-0001
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101267547
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License Number State | VA
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