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General NPI Number Information
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NPI Number | 1548388077
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Entity Type | Individual
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Provider Name | HEATHER D GJORGJIEVSKI D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 103 HILLTOP VILLAGE SHOPPING CENTER DR.
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City | EUREKA
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State | MO
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Zip | 63025
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Country | US
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Telephone | 365-876-3506
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Fax | 314-529-0699
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Provider Business Mailing Address
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Address Line | 720 COOL SPRINGS BLVD SUITE 300
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City | FRANKLIN
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State | TN
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Zip | 37067-2626
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Country | US
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Telephone | 615-778-4066
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Fax | 615-778-9114
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2006028758
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 2006028758
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License Number State | MO
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