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General NPI Number Information
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NPI Number | 1912943549
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Entity Type | Individual
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Provider Name | CHRISTIAN M HEESCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 2500 E HALLANDALE BEACH BLVD STE 811
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4841
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Country | US
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Telephone | 954-534-7769
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Fax | 954-342-9551
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Provider Business Mailing Address
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Address Line | 2500 E HALLANDALE BEACH BLVD STE 811
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4841
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Country | US
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Telephone | 954-458-9990
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME125632
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME125632
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License Number State | FL
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