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General NPI Number Information
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NPI Number | 1710336318
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Entity Type | Organization
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Legal Business Name | HEIDI A HEAP-CHESTER MD LLC
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 15 SKY VIEW DR
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City | CUMBERLAND FORESIDE
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State | ME
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Zip | 04110-1472
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Country | US
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Telephone | 207-699-3830
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Fax | 207-699-3831
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Provider Business Mailing Address
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Address Line | PO BOX 113
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City | BRUNSWICK
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State | ME
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Zip | 04011-0113
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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 | OWNER
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Name | DR. HEIDI ANNE HEAP-CHESTER
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Credential | M.D.
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Telephone | 207-844-3170
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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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