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General NPI Number Information
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NPI Number | 1821071648
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Entity Type | Individual
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Provider Name | ERIC M HEINBERG MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 801 BROADWAY STE 300
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City | SEATTLE
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State | WA
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Zip | 98122-4396
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Country | US
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Telephone | 206-215-3500
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Fax | 206-215-6499
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 024232
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD.024232
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD00046709
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License Number State | WA
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