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General NPI Number Information
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NPI Number | 1437676772
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Entity Type | Individual
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Provider Name | JENNIFER SUZANNE HECKAMAN MLT,ASAP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 719 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44305-2421
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Country | US
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Telephone | 330-315-2696
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Fax | 330-475-0355
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Provider Business Mailing Address
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Address Line | 719 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44305-2421
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Country | US
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Telephone | 330-315-2696
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Fax | 330-475-0355
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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 | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State | OH
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