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General NPI Number Information
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NPI Number | 1629125968
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Entity Type | Organization
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Legal Business Name | JOHN S HEGE MD INC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3300 WEBSTER STREET #602
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City | OAKLAND
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State | CA
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Zip | 94609
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Country | US
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Telephone | 510-834-5427
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Fax | 510-834-5449
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Provider Business Mailing Address
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Address Line | 3300 WEBSTER STREET #602
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City | OAKLAND
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State | CA
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Zip | 94609
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Country | US
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Telephone | 510-834-5427
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Fax | 510-834-5449
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN STEELE HEGE
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Credential | MD
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Telephone | 510-832-4261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A21253
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License Number State | CA
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