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General NPI Number Information
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NPI Number | 1225490931
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Entity Type | Individual
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Provider Name | VERA HENDRIX M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 35 PARK ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1110
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Country | US
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Telephone | 203-688-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 35 PARK ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1110
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 333095
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 333095
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License Number State | LA
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