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General NPI Number Information
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NPI Number | 1972788842
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Entity Type | Organization
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Legal Business Name | HENDERSON ACUTE CARE SPECIALISTS PLLC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 1305 N ELM ST
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City | HENDERSON
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State | KY
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Zip | 42420-2783
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Country | US
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Telephone | 866-680-2366
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Fax | 270-826-2364
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Provider Business Mailing Address
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Address Line | 1305 N ELM ST
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City | HENDERSON
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State | KY
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Zip | 42420-2783
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Country | US
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Telephone | 866-680-2366
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Fax | 270-826-2364
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Authorized Official
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Title or Position | MEMBER
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Name | DR. WILLIAM DEVINE
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Credential |
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Telephone | 866-680-2366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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