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General NPI Number Information
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NPI Number | 1093192023
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Entity Type | Individual
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Provider Name | CHERALYN HENDRIX M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 22 S GREENE ST
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-9878
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Fax |
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Provider Business Mailing Address
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Address Line | 8507 SUMMER SKY DR
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City | SEVERN
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State | MD
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Zip | 21144-3044
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Country | US
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Telephone | 520-294-3953
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | D91860
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License Number State | MD
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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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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D0091860
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License Number State | MD
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