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General NPI Number Information
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NPI Number | 1497752612
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Entity Type | Individual
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Provider Name | ROBERT G MCHENDRIX III D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 07/03/2013
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Provider Practice Location Address
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Address Line | 3126 DIXIE HWY SUITE 10
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City | ERLANGER
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State | KY
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Zip | 41018-1866
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Country | US
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Telephone | 859-331-4777
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Fax | 859-341-3133
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Provider Business Mailing Address
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Address Line | 3126 DIXIE HWY
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City | ERLANGER
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State | KY
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Zip | 41018-1866
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Country | US
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Telephone | 859-331-4777
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Fax | 859-341-3133
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 00125
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 00125
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 213ER0200X
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Taxonomy Name | Radiology Podiatrist
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License Number | K0125
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | K0125
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | K0125
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License Number State | KY
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