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General NPI Number Information
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NPI Number | 1528565637
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Entity Type | Individual
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Provider Name | MICHAEL WILLIAM HEFFNER MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 80 MAHALANI ST
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City | WAILUKU
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State | HI
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Zip | 96793-2531
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Country | US
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Telephone | 833-833-3333
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Fax | 808-243-6609
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # M14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-6270
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Fax | 775-982-6271
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 28838
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 28838
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License Number State | NV
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