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General NPI Number Information
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NPI Number | 1699722892
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Entity Type | Individual
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Provider Name | PAUL EDWARD HENSON III MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 49 CLEVELAND ST STE 350
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City | CROSSVILLE
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State | TN
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Zip | 38555-2898
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Country | US
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Telephone | 931-459-1120
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Fax |
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Provider Business Mailing Address
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Address Line | 49 CLEVELAND ST STE 350
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City | CROSSVILLE
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State | TN
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Zip | 38555-2898
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Country | US
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Telephone | 931-423-6970
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Fax | 423-697-1798
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD029178
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License Number State | TN
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