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General NPI Number Information
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NPI Number | 1811853468
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Entity Type | Organization
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Legal Business Name | H & K INTERVENTIONAL
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1515 W CHANDLER BLVD
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City | CHANDLER
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State | AZ
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Zip | 85224-6141
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Country | US
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Telephone | 801-808-9400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10573
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City | GLENDALE
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State | AZ
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Zip | 85318-0573
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Country | US
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Telephone | 801-808-9400
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HEATHER ANN THEOBALD
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Credential | DO
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Telephone | 801-808-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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