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General NPI Number Information
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NPI Number | 1659549277
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Entity Type | Organization
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Legal Business Name | HEU MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 02/16/2008
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 1735 VILLA AVE STE 102
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City | CLOVIS
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State | CA
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Zip | 93612-2443
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Country | US
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Telephone | 559-353-3953
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Fax | 559-261-2610
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Provider Business Mailing Address
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Address Line | 1735 VILLA AVE STE 102
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City | CLOVIS
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State | CA
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Zip | 93612-2443
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Country | US
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Telephone | 559-353-3953
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Fax | 559-261-2610
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PA HEU
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Credential | M.D.
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Telephone | 559-618-0686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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