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General NPI Number Information
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NPI Number | 1023157682
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Entity Type | Organization
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Legal Business Name | HENDRIX MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 2709 W KINGSHIGHWAY SUITE 6
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City | PARAGOULD
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State | AR
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Zip | 72450-4141
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Country | US
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Telephone | 870-236-7272
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Fax | 870-236-7275
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Provider Business Mailing Address
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Address Line | 2709 W KINGSHIGHWAY SUITE 6
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City | PARAGOULD
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State | AR
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Zip | 72450-4141
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Country | US
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Telephone | 870-236-7272
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Fax | 870-236-7275
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. BARRY DEWANE HENDRIX
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Credential | M.D.
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Telephone | 870-236-7272
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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 | E-0965
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License Number State | AR
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