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General NPI Number Information
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NPI Number | 1700154556
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Entity Type | Organization
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Legal Business Name | SCOTT HENNING, DO, PA
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 231 E MULBERRY AVE # 2
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City | SAN ANTONIO
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State | TX
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Zip | 78212-3042
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Country | US
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Telephone | 210-888-4350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15333
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City | SAN ANTONIO
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State | TX
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Zip | 78212-8533
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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 | PRESIDENT
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Name | DR. JEFFREY SCOTT HENNING
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Credential | DO
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Telephone | 210-888-4350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | M7259
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License Number State | TX
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