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NPI Code Detail

MEDICARE: JULIAN HENDERSON

MEDICARE: JULIAN HENDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1821965294
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIAN HENDERSON
Provider Business Mailing Address
First Line : 1801 WATERMARK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-7088
Country : US
Telephone Number : 614-487-8758
Fax Number :
Provider Business Practice Location Address
First Line : 2895 HARDING HWY STE D
Second Line :
City : LIMA
State : OH
Zip : 45804-3464
Country : US
Telephone Number : 419-221-2821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 10/21/2025

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Directions to “ JULIAN HENDERSON ” Practice Location

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