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General NPI Number Information
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NPI Number | 1447364732
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Entity Type | Individual
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Provider Name | JEFFREY A HELLER PSYD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 260 NORTHLAND BLVD STE 318
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City | CINCINNATI
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State | OH
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Zip | 45246-4921
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Country | US
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Telephone | 513-272-2733
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Fax | 513-272-2733
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Provider Business Mailing Address
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Address Line | 7555 ALGONQUIN DR
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City | CINCINNATI
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State | OH
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Zip | 45243-3519
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Country | US
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Telephone | 513-272-2733
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Fax | 513-272-2733
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4687
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License Number State | OH
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