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General NPI Number Information
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NPI Number | 1538270681
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Entity Type | Organization
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Legal Business Name | RAY W HECKMANN DDS INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3427 BEE CAVES ROAD SUITE B2
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City | AUSTIN
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State | TX
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Zip | 78746-6694
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Country | US
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Telephone | 512-327-3184
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Fax | 512-327-6802
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Provider Business Mailing Address
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Address Line | 3427 BEE CAVES ROAD SUITE B2
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City | AUSTIN
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State | TX
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Zip | 78746-6694
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Country | US
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Telephone | 512-327-3184
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Fax | 512-327-6802
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAY WAYNE HECKMAN
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Credential | DDS
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Telephone | 512-327-3184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 09504
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License Number State | TX
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