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General NPI Number Information
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NPI Number | 1710095559
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Entity Type | Organization
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Legal Business Name | KATHERINE D HEIN MD PC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 117 WEST CENTRAL STREET SUITE 203
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City | NATICK
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State | MA
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Zip | 01760
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Country | US
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Telephone | 508-875-7777
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Fax | 508-875-8777
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Provider Business Mailing Address
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Address Line | 117 WEST CENTRAL STREET SUITE 203
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City | NATICK
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State | MA
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Zip | 01760
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Country | US
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Telephone | 508-875-7777
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Fax | 508-875-8777
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Authorized Official
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Title or Position | OWNER
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Name | KATHRINE D HEIN
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Credential | M.D.
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Telephone | 508-875-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 79198
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License Number State | MA
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