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General NPI Number Information
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NPI Number | 1871592642
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Entity Type | Individual
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Provider Name | HENRY M HELLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 1800 E 3RD AVE SUITE 104
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City | DURANGO
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State | CO
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Zip | 81301-5016
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Country | US
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Telephone | 970-247-0777
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Fax | 970-247-0902
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Provider Business Mailing Address
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Address Line | 1800 E 3RD AVE SUITE 104
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City | DURANGO
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State | CO
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Zip | 81301-5016
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Country | US
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Telephone | 970-247-0777
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Fax | 970-247-0902
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 22830
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License Number State | CO
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