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General NPI Number Information
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NPI Number | 1417922691
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Entity Type | Individual
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Provider Name | DAVID A HENDRICK MD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 195 INVERNESS DR W SUITE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-792-5665
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Fax | 303-858-0495
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Provider Business Mailing Address
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Address Line | 195 INVERNESS DR W SUITE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-792-5665
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Fax | 303-858-0495
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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 | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 31900
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License Number State | CO
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