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General NPI Number Information
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NPI Number | 1235446980
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Entity Type | Organization
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Legal Business Name | ROBERT C HENDERSON II MD PLLC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 76 PEACHTREE RD SUITE 210
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City | ASHEVILLE
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State | NC
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Zip | 28803-3395
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Country | US
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Telephone | 828-277-0019
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Fax | 828-277-0020
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Provider Business Mailing Address
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Address Line | 76 PEACHTREE RD SUITE 210
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City | ASHEVILLE
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State | NC
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Zip | 28803-3395
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Country | US
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Telephone | 828-277-0019
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Fax | 828-277-0020
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KAREN MCDOWELL
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Credential |
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Telephone | 828-277-0019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 200201366
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License Number State | NC
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