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General NPI Number Information
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NPI Number | 1598185159
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Entity Type | Individual
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Provider Name | JHODY-ANN HENDRICKS MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 1405 CLIFTON RD NE CHILDREN'S HELATH CARE ATLANTA
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City | ATLANTA
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State | GA
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Zip | 30322-1060
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Country | US
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Telephone | 404-785-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 140 S MAIN ST STE 203
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City | MADISONVILLE
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State | KY
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Zip | 42431-2500
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Country | US
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Telephone | 270-821-1229
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Fax | 270-821-1220
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 76009
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License Number State | GA
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