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General NPI Number Information
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NPI Number | 1457283780
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Entity Type | Individual
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Provider Name | ANDREA HEITKAMP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1320 E MAIN ST
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City | VERSAILLES
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State | OH
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Zip | 45380-1562
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Country | US
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Telephone | 937-569-8726
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Fax |
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Provider Business Mailing Address
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Address Line | 01473 STATE ROUTE 274
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City | NEW BREMEN
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State | OH
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Zip | 45869-9769
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Country | US
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Telephone | 567-644-8873
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT022400
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License Number State | OH
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