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General NPI Number Information
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NPI Number | 1578408928
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Entity Type | Individual
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Provider Name | HIDDI HENDERSON LSW
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 1316 E 7TH ST STE 2
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City | AUBURN
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State | IN
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Zip | 46706-2539
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Country | US
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Telephone | 260-266-0780
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Fax | 260-266-0785
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Provider Business Mailing Address
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Address Line | 2700 LAFAYETTE ST STE 110
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City | FORT WAYNE
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State | IN
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Zip | 46806-1100
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Country | US
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Telephone | 260-266-0780
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Fax | 260-266-0785
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 33013157A
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License Number State | IN
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