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General NPI Number Information
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NPI Number | 1548602154
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Entity Type | Individual
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Provider Name | KIM MARIE HEIM MSN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 224 W EXCHANGE ST STE 160
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City | AKRON
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State | OH
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Zip | 44302-1705
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Country | US
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Telephone | 330-344-6543
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Fax |
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Provider Business Mailing Address
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Address Line | 136 FOX RIDGE WAY
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City | TALLMADGE
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State | OH
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Zip | 44278-3918
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Country | US
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Telephone | 330-630-2591
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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 | 244220
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14798
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License Number State | OH
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