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General NPI Number Information
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NPI Number | 1477017499
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Entity Type | Organization
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Legal Business Name | HEATHER DEHN CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 01/23/2019
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 4343 MARCONI AVE STE 5
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City | SACRAMENTO
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State | CA
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Zip | 95821-4300
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Country | US
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Telephone | 916-488-0202
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Fax | 916-488-0242
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Provider Business Mailing Address
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Address Line | 4343 MARCONI AVE STE 5
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City | SACRAMENTO
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State | CA
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Zip | 95821-4300
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Country | US
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Telephone | 916-488-0202
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Fax | 916-488-0242
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. HEATHER ANN DEHN
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Credential | DC
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Telephone | 916-488-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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