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General NPI Number Information
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NPI Number | 1063032068
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Entity Type | Individual
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Provider Name | MATTHEW J HENRY MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 705 RILEY HOSPITAL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5109
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Country | US
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Telephone | 317-944-5000
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Fax | 317-963-5492
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Provider Business Mailing Address
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Address Line | 720 ESKENAZI AVE BLDG 3
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5187
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Country | US
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Telephone | 317-880-3900
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME161547
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 01093140A
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License Number State | IN
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