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General NPI Number Information
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NPI Number | 1487987616
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Entity Type | Individual
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Provider Name | HEATHER N MADSEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 2375 E PRATER WAY DEPARTMENT OF INPATIENT REHABILITATION
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City | SPARKS
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State | NV
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Zip | 89434-9665
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Country | US
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Telephone | 775-356-4934
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Fax | 775-356-4955
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Provider Business Mailing Address
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Address Line | 2375 E PRATER WAY
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City | SPARKS
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State | NV
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Zip | 89434-9665
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Country | US
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Telephone | 775-356-4934
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Fax | 775-356-4955
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 086241
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2259
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0004018
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License Number State | MD
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