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1265987101 NPI number — VAN ANH HUY HENDEE PA

NPI Number: 1265987101
Health Care Provider/Practitioner: VAN ANH HUY HENDEE PA

Information about “1265987101” NPI (VAN ANH HUY HENDEE PA) exists in 1265987101 in HTML format HTML  |  1265987101 in plain Text format TXT  |  1265987101 in PDF (Portable Document Format) PDF  |  1265987101 in an XML format XML  formats.

NPI Number : 1265987101 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265987101",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HENDEE",
    "FirstName": "VAN ANH",
    "MiddleName": "HUY",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HENDEE",
    "OtherFirstName": "AMY",
    "OtherMiddleName": "HUY",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PA",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "4810 WHITESPORT CIR SW STE 202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HUNTSVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35801-7420",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-882-7888",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3100 WELLONS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BERN",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28562-5247",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-634-9000",
    "PracticeLocationAddressFaxNumber": "252-634-9001",
    "EnumerationDate": "08/21/2016",
    "LastUpdateDate": "12/23/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA9111292",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "TA.1828",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "0010-10012",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363A00000X",
          "TaxonomyName": "Physician Assistant",
          "LicenseNumber": "PA.1184",
          "LicenseNumberStateCode": "AL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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