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1235165861
EDWARD HENEVELD
TRUCKEE, CA
NPI
1235165861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G29319)
Enumeration Date
2006-06-24
Last Update Date
2013-01-08
Business Address
-- EDWARD HENEVELD MD
10121 PINE AVE
TRUCKEE, CA 96161-4835
Phone number: 530-582-3209
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Mailing Address
-- EDWARD HENEVELD MD
PO BOX 2488
OLYMPIC VALLEY, CA 96146-2488
Phone number: 530-583-1817
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