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General NPI Number Information
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NPI Number | 1255938528
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Entity Type | Individual
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Provider Name | GINGER HENDERSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 4545 S NOLAND RD
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City | INDEPENDENCE
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State | MO
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Zip | 64055-4887
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Country | US
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Telephone | 816-478-1968
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Fax | 816-478-5649
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Provider Business Mailing Address
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Address Line | 1704 OVERBROOK LN
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City | RAYMORE
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State | MO
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Zip | 64083-8172
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Country | US
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Telephone | 816-718-6896
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2001019308
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License Number State | MO
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