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General NPI Number Information
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NPI Number | 1558269837
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Entity Type | Organization
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Legal Business Name | HEIDE KUANG M.D. MEDICAL PRACTICE, INC
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Dates
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Enumeration Date | 10/27/2026
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Last Update Date | 10/27/2026
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Provider Practice Location Address
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Address Line | 2215 S CURRY PIKE
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City | BLOOMINGTON
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State | IN
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Zip | 47403-3170
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Country | US
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Telephone | 443-505-7606
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Fax |
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Provider Business Mailing Address
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Address Line | 11807 ALLISONVILLE RD UNIT 1039
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City | FISHERS
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State | IN
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Zip | 46038-2313
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEIDE KUANG
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Credential | MD
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Telephone | 443-505-7606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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