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General NPI Number Information
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NPI Number | 1851021083
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Entity Type | Organization
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Legal Business Name | HENDERSON BIRTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 06/11/2022
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 319 8TH ST STE C
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City | HENDERSON
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State | KY
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Zip | 42420-2963
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Country | US
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Telephone | 270-830-3056
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Fax | 270-830-3058
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Provider Business Mailing Address
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Address Line | 319 8TH ST STE C
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City | HENDERSON
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State | KY
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Zip | 42420-2963
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Country | US
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Telephone | 270-830-3056
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Fax | 270-830-3058
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ASHLEY DURHAM
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Credential | APRN, CNM, FNP
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Telephone | 270-577-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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