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General NPI Number Information
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NPI Number | 1609227446
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Entity Type | Individual
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Provider Name | TROY THOMAS HEINRICHS L.AC.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 5221 S 48TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-2230
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Country | US
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Telephone | 402-318-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 19951 SW 2ND ST
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City | ROCA
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State | NE
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Zip | 68430-9649
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Country | US
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Telephone | 402-318-8775
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 29
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License Number State | NE
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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 | 13585
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License Number State | CA
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