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General NPI Number Information
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NPI Number | 1619993623
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Entity Type | Individual
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Provider Name | HENRY C HECKER P.T
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1 LARCH DR
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City | GREAT NECK
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State | NY
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Zip | 11021-1907
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Country | US
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Telephone | 917-334-0185
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Fax |
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Provider Business Mailing Address
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Address Line | 2621 PALISADE AVE 10J
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City | BRONX
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State | NY
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Zip | 10463-6106
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Country | US
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Telephone | 917-334-0185
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Fax | 718-796-7806
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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