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Individual
DR. AMBER HEATH
Active
Individual
DR. AMBER HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003096
NY
2255A2300X
Athletic Trainer
Primary
25MT00234700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOL0000182
BOLINGER
NJ
Enumeration date
02/20/2021
Last updated
02/20/2021
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