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General NPI Number Information
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NPI Number | 1346619715
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Entity Type | Individual
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Provider Name | ALICIA DIANE HENSLEY AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/16/2015
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 8301 HARCOURT RD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2082
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Country | US
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Telephone | 317-415-6600
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Fax | 317-415-6649
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 855-963-2100
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Fax | 813-321-1296
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28176948A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71005725A
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License Number State | IN
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