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General NPI Number Information
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NPI Number | 1922927466
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Entity Type | Individual
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Provider Name | JENNIFER E HEINRICH
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 101 SILVERMINE RD
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City | BROOKFIELD
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State | CT
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Zip | 06804-2047
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Country | US
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Telephone | 888-374-0855
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Fax |
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Provider Business Mailing Address
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Address Line | 6 DRUMCLIFFE DR
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City | WARREN
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State | PA
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Zip | 16365-3516
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TEI004321
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License Number State | PA
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