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General NPI Number Information
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NPI Number | 1689465957
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Entity Type | Individual
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Provider Name | BETSY HENSON DDS
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 34 HUGHES RD STE A
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City | MADISON
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State | AL
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Zip | 35758-3000
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Country | US
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Telephone | 256-774-8150
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Fax |
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Provider Business Mailing Address
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Address Line | 13 PERRY ST APT A
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City | CHARLESTON
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State | SC
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Zip | 29403-2630
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | D.007439-C1
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License Number State | AL
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