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General NPI Number Information
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NPI Number | 1205852027
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Entity Type | Individual
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Provider Name | BARBARA JOAN HENDERSON APN,RNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1622 CAMPUS AVE
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City | HARRISON
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State | AR
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Zip | 72601-5524
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Country | US
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Telephone | 870-743-5244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | LESLIE
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State | AR
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Zip | 72645-0266
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | A01088
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License Number State | AR
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