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General NPI Number Information
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NPI Number | 1518215094
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Entity Type | Individual
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Provider Name | HEATHER MCCALL P.A.
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Gender | Female
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 50 HILLCREST MEDICAL BLVD STE 303
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City | WACO
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State | TX
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Zip | 76712-8955
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Country | US
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Telephone | 254-202-0480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 848491
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City | DALLAS
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State | TX
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Zip | 75284-8491
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Country | US
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Telephone | 254-202-9330
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Fax |
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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 | PA07917
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License Number State | TX
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