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General NPI Number Information
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NPI Number | 1407914823
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Entity Type | Individual
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Provider Name | MONICA ELAINE HENDERSON DPT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 815 FREEPORT RD 200 BLGD, SUITE 4000
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City | PITTSBURGH
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State | PA
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Zip | 15215-3301
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Country | US
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Telephone | 412-784-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 614 PRINCETON BLVD
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City | WILKINSBURG
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State | PA
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Zip | 15221-2614
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Country | US
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Telephone | 412-727-1976
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018394
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License Number State | PA
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