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General NPI Number Information
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NPI Number | 1922328244
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Entity Type | Individual
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Provider Name | WENDY ANN HENDERSON PHD, CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | NATIONAL INSTITUTES OF CTR BUILDING 10, 10 CENTER DRIVE, 2-1339
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-451-9534
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Fax |
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Provider Business Mailing Address
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Address Line | 9 MEMORIAL DR BLDG 9, 1W108 , MSC 0935
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City | BETHESDA
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State | MD
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Zip | 20892-0001
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Country | US
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Telephone | 301-451-9534
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Fax |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R181106
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP005687D
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License Number State | PA
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