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General NPI Number Information
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NPI Number | 1114488335
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Entity Type | Individual
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Provider Name | WILLIAM A HENRY III MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 10 HOSPITAL CIR
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City | BATESVILLE
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State | AR
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Zip | 72501-7310
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Country | US
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Telephone | 870-793-4040
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Fax | 870-793-5649
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Provider Business Mailing Address
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Address Line | 10 HOSPITAL CIR
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City | BATESVILLE
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State | AR
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Zip | 72501-7310
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Country | US
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Telephone | 870-793-4040
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Fax | 870-793-5649
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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 | 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 #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E-16608
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License Number State | AR
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