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General NPI Number Information
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NPI Number | 1144895822
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Entity Type | Individual
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Provider Name | SYDNEY HENDRIX
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Gender | Female
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 1711 DESTINY LN STE 107
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City | BOWLING GREEN
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State | KY
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Zip | 42104-1067
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Country | US
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Telephone | 270-702-4641
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Fax | 615-815-1946
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Provider Business Mailing Address
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Address Line | 1321 MURFREESBORO PIKE STE 702
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City | NASHVILLE
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State | TN
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Zip | 37217-2679
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Country | US
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Telephone | 615-361-4000
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Fax | 615-815-1946
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-24-73679
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License Number State | KY
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