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General NPI Number Information
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NPI Number | 1831551340
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Entity Type | Individual
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Provider Name | HENRY HILTON DODD M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 401 ALCORN DR STE 1B
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City | CORINTH
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State | MS
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Zip | 38834-9071
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Country | US
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Telephone | 662-293-7390
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Fax | 662-293-7399
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Provider Business Mailing Address
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Address Line | 401 ALCORN DR STE 1B
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City | CORINTH
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State | MS
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Zip | 38834-9071
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Country | US
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Telephone | 662-293-7390
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Fax | 662-293-7399
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 26669
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License Number State | MS
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