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General NPI Number Information
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NPI Number | 1457772287
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Entity Type | Organization
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Legal Business Name | M.A.HEILMAN,PHD., LLC
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 12/20/2013
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Provider Practice Location Address
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Address Line | 8747 SQUIRES LANE NE HILLSIDE REHABILITATION HOSPITAL
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City | WARREN
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State | OH
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Zip | 44484
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Country | US
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Telephone | 330-841-3884
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Fax | 330-841-3514
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Provider Business Mailing Address
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Address Line | 4949 MCCLEARY JACOBY ROAD MAHEILMAN,PHD., LLC
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City | CORTLAND
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State | OH
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Zip | 44410
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Country | US
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Telephone | 330-841-3884
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Fax | 330-841-3514
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. MICHAEL A. HEI
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Credential | PH.D.
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Telephone | 330-841-3884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 5061
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License Number State | OH
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