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General NPI Number Information
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NPI Number | 1851743272
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Entity Type | Individual
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Provider Name | MICHAEL ANTHONY BENEDICT HENEGHAN MBBCH
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Gender | Male
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Dates
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Enumeration Date | 07/09/2016
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2373 CENTRAL PARK BLVD UNIT 100
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City | DENVER
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State | CO
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Zip | 80238-2300
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Country | US
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Telephone | 720-432-0837
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | 2373 CENTRAL PARK BLVD UNIT 100
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City | DENVER
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State | CO
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Zip | 80238-2300
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Country | US
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Telephone | 720-432-0837
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Fax | 888-815-3583
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0063858
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 340056
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License Number State | NY
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