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General NPI Number Information
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NPI Number | 1518415819
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Entity Type | Individual
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Provider Name | ALISHA HEINDL
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Gender | Female
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 1394 MILLION DOLLAR HWY
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City | KERSEY
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State | PA
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Zip | 15846-9324
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Country | US
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Telephone | 814-594-1675
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Fax |
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Provider Business Mailing Address
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Address Line | 1394 MILLION DOLLAR HWY
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City | KERSEY
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State | PA
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Zip | 15846-9324
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Country | US
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Telephone | 814-594-1675
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN602359
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License Number State | PA
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