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General NPI Number Information
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NPI Number | 1255859435
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Entity Type | Individual
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Provider Name | ABBEY JO HENDERSHOTT CNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1250 W NATIONAL RD STE 400
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City | ENGLEWOOD
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State | OH
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Zip | 45315-9506
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Country | US
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Telephone | 937-836-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 FAR HILLS AVE STE 112
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City | DAYTON
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State | OH
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Zip | 45429-2317
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Country | US
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Telephone | 937-433-8212
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Fax | 937-433-8246
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.021649
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License Number State | OH
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