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General NPI Number Information
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NPI Number | 1902020365
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Entity Type | Organization
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Legal Business Name | HEIKKINEN CHIROPRACTIC PC
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 820 E CARTWRIGHT RD STE 133
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City | MESQUITE
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State | TX
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Zip | 75149-6063
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Country | US
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Telephone | 972-285-3232
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Fax | 972-285-5993
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Provider Business Mailing Address
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Address Line | 820 E CARTWRIGHT RD STE 133
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City | MESQUITE
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State | TX
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Zip | 75149-6063
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Country | US
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Telephone | 972-285-3232
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Fax | 972-285-5993
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MARSHA KAY HEIKKINEN
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Credential | DC
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Telephone | 972-285-3232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 4245
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11010
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4586
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License Number State | TX
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