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General NPI Number Information
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NPI Number | 1376646307
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Entity Type | Individual
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Provider Name | WILLIAM P. HEYNS JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 300 WILSON STREET
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City | HENDERSON
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State | TX
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Zip | 75652-5956
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Country | US
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Telephone | 903-655-3739
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Fax | 903-655-3948
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Provider Business Mailing Address
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Address Line | 16 EDEN STREET
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City | KILGORE
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State | TX
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Zip | 75662
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Country | US
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Telephone | 903-981-1044
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | F0219
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License Number State | TX
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