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General NPI Number Information
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NPI Number | 1659786523
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Entity Type | Individual
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Provider Name | TIMOTHY HEILMANN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 5901 PEACHTREE DUNWOODY RD STE C65
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City | ATLANTA
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State | GA
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Zip | 30328-7156
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Country | US
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Telephone | 678-389-8232
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Fax | 678-805-8125
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Provider Business Mailing Address
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Address Line | 5901 PEACHTREE DUNWOODY RD STE C65
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City | ATLANTA
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State | GA
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Zip | 30328-7156
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 02004733A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 101572
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License Number State | GA
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