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General NPI Number Information
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NPI Number | 1518348846
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Entity Type | Individual
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Provider Name | MICHELLE LEE HEINS BSN, MSN, WHNP
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Gender | Female
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 2907 EL CAMINO REAL
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City | REDWOOD CITY
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State | CA
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Zip | 94061-4003
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Country | US
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Telephone | 650-503-7820
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Fax | 650-298-9875
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Provider Business Mailing Address
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Address Line | 1691 THE ALAMEDA
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City | SAN JOSE
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State | CA
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Zip | 95126-2203
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Country | US
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Telephone | 408-795-3619
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 95002082
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License Number State | CA
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