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General NPI Number Information
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NPI Number | 1588840102
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Entity Type | Individual
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Provider Name | JOHN ALEXANDER HEFLIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 5400 ALAMEDA AVE BLDG B
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City | EL PASO
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State | TX
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Zip | 79905-2914
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Country | US
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Telephone | 915-242-8402
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Fax |
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Provider Business Mailing Address
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Address Line | 5130 GATEWAY BLVD E # 51015
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City | EL PASO
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State | TX
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Zip | 79905-1608
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Country | US
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Telephone | 915-215-4480
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 7676044-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 65463
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | S3531
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License Number State | TX
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