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General NPI Number Information
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NPI Number | 1538422258
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Entity Type | Organization
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Legal Business Name | HEUN CHIROPRACTIC INC.
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 2000 JEFFERSON ST
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City | NAPA
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State | CA
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Zip | 94559-1214
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Country | US
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Telephone | 707-255-4424
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 JEFFERSON ST
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City | NAPA
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State | CA
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Zip | 94559-1214
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Country | US
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Telephone | 707-255-4424
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SCOTT JOSEPH HEUN
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Credential | D.C.
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Telephone | 707-255-4424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15236
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License Number State | CA
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