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General NPI Number Information
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NPI Number | 1730238494
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Entity Type | Organization
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Legal Business Name | FAMILY DOCTOR, INC
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 1040 CHESTNUT ST
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City | EMMAUS
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State | PA
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Zip | 18049-1952
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Country | US
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Telephone | 610-966-5549
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Fax | 610-967-0204
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Provider Business Mailing Address
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Address Line | 1040 CHESTNUT ST
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City | EMMAUS
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State | PA
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Zip | 18049-1952
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Country | US
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Telephone | 610-966-5549
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Fax | 610-967-0204
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN N HEID
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Credential | D.O.
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Telephone | 610-966-5549
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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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