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General NPI Number Information
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NPI Number | 1528249489
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Entity Type | Individual
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Provider Name | CHRISTOPHER PATRICK HENDERSON MD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 334 MAIN ST SUITE 1
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City | DICKSON CITY
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State | PA
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Zip | 18519-1668
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Country | US
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Telephone | 570-307-1767
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Fax | 570-307-1770
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Provider Business Mailing Address
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Address Line | PO BOX 783311
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City | PHILADELPHIA
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State | PA
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Zip | 19178-3311
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Country | US
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Telephone | 484-884-4500
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Fax | 484-884-0699
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD439809
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 42566
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | MD439809
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License Number State | PA
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