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General NPI Number Information
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NPI Number | 1487198776
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Entity Type | Organization
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Legal Business Name | N HADLEY HEINDEL III, MD, LLC
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 2080 NEWNAN CROSSING BLVD E STE 300
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City | NEWNAN
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State | GA
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Zip | 30265-2557
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Country | US
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Telephone | 770-955-0270
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Fax | 770-955-0271
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Provider Business Mailing Address
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Address Line | 2080 NEWNAN CROSSING BLVD E STE 300
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City | NEWNAN
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State | GA
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Zip | 30265-2557
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Country | US
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Telephone | 770-955-0270
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Fax | 770-955-0271
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Authorized Official
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Title or Position | PRACTICING OWNER
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Name | DR. NORMAN HADLEY HEINDEL III
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Credential | MD
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Telephone | 770-955-0270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 031939
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License Number State | GA
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