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General NPI Number Information
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NPI Number | 1417007642
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Entity Type | Individual
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Provider Name | SUSAN M HEFFLEY MD
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 3027 N CIRCLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1179
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Country | US
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Telephone | 719-776-4646
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Fax | 719-776-4640
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Provider Business Mailing Address
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Address Line | 3027 N CIRCLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1179
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Country | US
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Telephone | 719-776-4646
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Fax | 719-776-4640
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40967
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0059357
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License Number State | CO
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