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General NPI Number Information
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NPI Number | 1881402444
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Entity Type | Individual
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Provider Name | EMI H HEISTERKAMP DPT
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Gender | Female
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 12110 PECOS ST STE 250
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City | WESTMINSTER
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State | CO
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Zip | 80234-2047
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Country | US
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Telephone | 720-542-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 40TH ST UNIT 718
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City | DENVER
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State | CO
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Zip | 80205-5476
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Country | US
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Telephone | 858-449-1130
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 0020251
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License Number State | CO
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