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General NPI Number Information
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NPI Number | 1972214104
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Entity Type | Individual
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Provider Name | TODD HENDRIX HIS
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Gender | Male
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 2130 BROOKMEADE DR
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City | COLUMBIA
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State | TN
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Zip | 38401-4089
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Country | US
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Telephone | 931-490-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 4085 MALLORY LN STE 108
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City | FRANKLIN
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State | TN
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Zip | 37067-2801
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Country | US
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Telephone | 615-771-8240
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | TN919
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License Number State | TN
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