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General NPI Number Information
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NPI Number | 1891848511
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Entity Type | Individual
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Provider Name | RICHARD LEE HEIDEMANN DDS
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 2583 S HWY 14, SUITE 1
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City | ALBION
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State | NE
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Zip | 68620
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Country | US
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Telephone | 402-395-6625
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Fax | 402-395-2059
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Provider Business Mailing Address
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Address Line | PO BOX 508 2583 S HWY 14, SUITE 1
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City | ALBION
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State | NE
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Zip | 68620-0508
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Country | US
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Telephone | 402-395-6625
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Fax | 402-395-2059
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6048
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6788
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6788
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License Number State | NE
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