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General NPI Number Information
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NPI Number | 1417004300
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Entity Type | Individual
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Provider Name | SCOTT JAMES HENDERSON MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | OVERLAND PARK REG. MED CENTER, DEPT. OF ANESTHESIOLOGY 10500 QUIVIRA ROAD
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City | OVERLAND PARK
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State | KS
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Zip | 66215
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Country | US
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Telephone | 313-428-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 8717 W 110TH ST BLDG 14, STE 600
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City | OVERLAND PARK
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State | KS
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Zip | 66210-2144
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Country | US
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Telephone | 913-428-2900
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Fax | 913-428-2951
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2007013970
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 04-32460
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD0000040132
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 26906
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License Number State | NE
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