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General NPI Number Information
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NPI Number | 1629456652
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Entity Type | Individual
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Provider Name | DOUGLAS HENNINGSEN
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Gender | Male
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | UNC DEPARTMENT OF PSYCHIATRY THIRD FLOOR THIRD FLOOR, MEDICAL SCHOOL WING D CAMPUS BOX 7160
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City | CHAPEL HILL
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State | NC
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Zip | 27599-7160
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Country | US
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Telephone | 919-966-8722
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Fax |
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Provider Business Mailing Address
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Address Line | UNC DEPARTMENT OF PSYCHIATRY THIRD FLOOR THIRD FLOOR, MEDICAL SCHOOL WING D CAMPUS BOX 7160
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City | CHAPEL HILL
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State | NC
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Zip | 27599-7160
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Country | US
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Telephone |
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 209446
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License Number State | NC
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