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General NPI Number Information
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NPI Number | 1477477040
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Entity Type | Individual
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Provider Name | KIMBERLY LAUREN HENDRIX
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 100 BAPTIST MEMORIAL CIR STE 201
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City | OXFORD
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State | MS
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Zip | 38655-4476
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Country | US
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Telephone | 662-636-2400
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Fax | 662-236-0083
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Provider Business Mailing Address
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Address Line | 8060 WOLF RIVER BLVD
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City | GERMANTOWN
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State | TN
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Zip | 38138-1727
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Country | US
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Telephone | 901-271-1000
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Fax | 901-271-4187
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 908581
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License Number State | MS
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