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General NPI Number Information
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NPI Number | 1699770271
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Entity Type | Individual
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Provider Name | FREDERICK MICHAEL HEINEMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 2266 ALBERT PIKE RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-4003
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Country | US
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Telephone | 501-767-1144
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Fax | 501-767-4455
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Provider Business Mailing Address
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Address Line | 1661 AIRPORT RD STE D
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City | HOT SPRINGS
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State | AR
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Zip | 71913-8184
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Country | US
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Telephone | 501-625-7500
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Fax | 501-625-7777
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | R3044
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License Number State | AR
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