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General NPI Number Information
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NPI Number | 1467833806
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Entity Type | Individual
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Provider Name | SHEENA MARIE HENRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 700 W IRONWOOD DR STE 275W
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4400
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Country | US
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Telephone | 208-625-4780
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Fax | 208-625-4781
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Provider Business Mailing Address
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Address Line | 2003 KOOTENAI HEALTH WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6051
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Country | US
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Telephone |
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 38449
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 5161376
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LL38449
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License Number State | SC
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