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General NPI Number Information
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NPI Number | 1720714488
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Entity Type | Individual
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Provider Name | JENNIFER MACLAYNE HELLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 15 RIVERBEND DR SW
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City | ROME
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State | GA
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Zip | 30161-6005
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Country | US
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Telephone | 706-291-0084
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Fax | 706-291-0405
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Provider Business Mailing Address
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Address Line | 112 WARWICK WAY SE
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City | ROME
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State | GA
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Zip | 30161-3794
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Country | US
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Telephone | 706-766-8918
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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