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General NPI Number Information
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NPI Number | 1497885032
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Entity Type | Organization
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Legal Business Name | THOMAS H HEFLIN DDS PA
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8000 CARMEL AVENUE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122
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Country | US
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Telephone | 505-883-0323
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Fax | 505-884-5471
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Provider Business Mailing Address
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Address Line | 8000 CARMEL AVENUE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87122
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Country | US
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Telephone | 505-883-0323
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Fax | 505-884-5471
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. THOMAS H HEFLIN
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Credential | DDS
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Telephone | 505-883-0323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1117
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License Number State | NM
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