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General NPI Number Information
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NPI Number | 1568970895
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Entity Type | Individual
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Provider Name | ROBERT THOMAS HEINZ LCSW
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Gender | Male
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 3710 SW US VETERANS HOSPITAL RD STE R
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City | PORTLAND
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State | OR
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Zip | 97239-2964
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Country | US
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Telephone | 503-501-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 650 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85012-1839
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Country | US
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Telephone | 480-825-7211
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LMSW-15780
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L14625
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License Number State | OR
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