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General NPI Number Information
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NPI Number | 1215969100
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Entity Type | Individual
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Provider Name | ELIZABETH F. HENSLEY PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 671 HIOAKS RD STE B
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City | RICHMOND
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State | VA
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Zip | 23225-4072
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Country | US
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Telephone | 804-272-5814
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Fax | 804-560-0232
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Provider Business Mailing Address
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Address Line | 1000 BOULDERS PKWY SUITE 102
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5545
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Country | US
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Telephone | 804-320-4243
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Fax | 804-282-1486
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110001705
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License Number State | VA
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