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General NPI Number Information
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NPI Number | 1558430793
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Entity Type | Individual
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Provider Name | PAUL HAROLD HEIKKINEN BS, D.C., CCSP, FASA
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 820 E CARTWRIGHT RD SUITE 133
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City | MESQUITE
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State | TX
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Zip | 75149-6063
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Country | US
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Telephone | 972-285-3232
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Fax | 972-285-5993
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Provider Business Mailing Address
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Address Line | 1714 ROSBURY CT
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City | MESQUITE
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State | TX
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Zip | 75181-3540
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Country | US
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Telephone | 972-222-3737
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 4245
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 4245
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License Number State | TX
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