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General NPI Number Information
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NPI Number | 1447231642
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Entity Type | Individual
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Provider Name | ANN LOUISE HENELT DO
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Gender | Female
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 1301 BERTHA HOWE AVE SUITE 8
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City | MESQUITE
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State | NV
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Zip | 89027-7502
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Country | US
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Telephone | 702-346-1700
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Fax | 702-346-3563
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Provider Business Mailing Address
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Address Line | 1301 BERTHA HOWE AVE SUITE 8
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City | MESQUITE
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State | NV
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Zip | 89027-7502
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Country | US
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Telephone | 702-346-1700
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Fax | 702-346-3563
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | AH010464
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DO1535
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License Number State | NV
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