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General NPI Number Information
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NPI Number | 1003491788
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Entity Type | Individual
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Provider Name | WILLIAM SCOTT HENRY
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Gender | Male
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Dates
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Enumeration Date | 03/14/2021
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 14501 HANCOCK VILLAGE ST
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City | CHESTERFIELD
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State | VA
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Zip | 23832-2776
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Country | US
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Telephone | 804-739-1668
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Fax |
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Provider Business Mailing Address
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Address Line | 9507 SPENDTHRIFT CIR APT 213
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City | HENRICO
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State | VA
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Zip | 23294-5312
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Country | US
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Telephone | 804-716-3175
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Fax | 804-800-2809
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202219930
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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