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General NPI Number Information
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NPI Number | 1700026358
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Entity Type | Organization
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Legal Business Name | CHRISTINE A. HEARD, D.P.M..
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 2100 CARLMONT DR SUITE 4
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City | BELMONT
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State | CA
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Zip | 94002-3482
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Country | US
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Telephone | 650-591-6436
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Fax | 650-591-6456
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Provider Business Mailing Address
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Address Line | 2100 CARLMONT DR SUITE 4
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City | BELMONT
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State | CA
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Zip | 94002-3482
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Country | US
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Telephone | 650-591-6436
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Fax | 650-591-6456
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINE A. HEARD
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Credential | D.P.M.
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Telephone | 650-591-6436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E3535
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License Number State | CA
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