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General NPI Number Information
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NPI Number | 1649229808
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Entity Type | Individual
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Provider Name | GERRI L HENDON DMD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 511 E TUSKEENA ST
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City | HAYNEVILLE
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State | AL
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Zip | 36040-2666
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Country | US
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Telephone | 334-548-2516
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Fax | 334-420-0160
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Provider Business Mailing Address
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Address Line | PO BOX 70365
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City | MONTGOMERY
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State | AL
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Zip | 36107-0365
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Country | US
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Telephone | 334-296-6670
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Fax | 334-293-6676
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4623
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License Number State | AL
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