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General NPI Number Information
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NPI Number | 1235295296
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Entity Type | Organization
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Legal Business Name | HENDREN AND LOCKETT PLLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 107 PERRY ST
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City | BLOOMFIELD
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State | KY
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Zip | 40008
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Country | US
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Telephone | 502-252-5081
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Fax | 502-252-7211
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | BLOOMFIELD
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State | KY
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Zip | 40008
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Country | US
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Telephone | 502-252-5081
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Fax | 502-252-7211
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Authorized Official
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Title or Position | DOCTOR PARTNER
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Name | DR. ROBERT D HENDREN
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Credential |
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Telephone | 502-252-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16252
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19893
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License Number State | KY
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