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General NPI Number Information
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NPI Number | 1558657973
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Entity Type | Organization
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Legal Business Name | RICHARD J HEID LLC
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 2561 YARDVILLE-HAMILTON SQUARE ROAD
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City | HAMILTON
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State | NJ
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Zip | 08690
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Country | US
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Telephone | 609-933-5572
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Fax |
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Provider Business Mailing Address
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Address Line | 40 PRESTILE PLACE
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-1114
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Country | US
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Telephone | 609-933-5572
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | RICHARD JAMES HEID
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Credential | PHD
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Telephone | 609-933-5572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 35S100404000
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License Number State | NJ
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