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General NPI Number Information
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NPI Number | 1972670032
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Entity Type | Individual
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Provider Name | HAZEL J HEDDINGS MD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22710 PROFESSIONAL DR
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City | KINGWOOD
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State | TX
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Zip | 77339
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Country | US
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Telephone | 281-312-8570
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Fax | 281-312-8579
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Provider Business Mailing Address
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Address Line | 920 MEDICAL PLAZA DR STE 140
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City | THE WOODLANDS
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State | TX
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Zip | 77380-3256
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Country | US
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Telephone | 281-364-8887
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Fax | 281-364-3913
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K7298
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License Number State | TX
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