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General NPI Number Information
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NPI Number | 1508566670
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Entity Type | Organization
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Legal Business Name | HERITAGE MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 180 SUNRISE HWY
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City | ROCKVILLE CTR
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State | NY
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Zip | 11570-4711
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Country | US
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Telephone | 770-537-5555
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Fax | 770-537-0548
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Provider Business Mailing Address
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Address Line | 180 SUNRISE HWY
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City | ROCKVILLE CTR
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State | NY
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Zip | 11570-4711
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Country | US
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Telephone | 404-242-9621
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Fax | 678-818-4617
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVE ODEH
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Credential | MD
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Telephone | 404-242-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State |
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