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General NPI Number Information
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NPI Number | 1114544160
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Entity Type | Individual
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Provider Name | HANNAH HENDERSON MD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1450 ALMONESSON RD STE H
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City | DEPTFORD
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State | NJ
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Zip | 08096-5238
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Country | US
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Telephone | 848-288-6935
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Fax | 732-790-0107
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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Fax | 732-790-0107
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA12869800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT220612
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License Number State | PA
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