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General NPI Number Information
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NPI Number | 1497336572
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Entity Type | Organization
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Legal Business Name | HENLEY PEDIATRICS PLLC
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 3604 CENTRAL AVE STE B
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6458
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Country | US
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Telephone | 501-276-1830
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Fax |
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Provider Business Mailing Address
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Address Line | 106 E MATLOCK CT
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8319
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Country | US
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Telephone | 501-276-1830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZANE ADAM HENLEY
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Credential | MD
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Telephone | 501-276-1830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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