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Individual
DR. AMY HALLAL HENDERSON
Active
Individual
DR. AMY HALLAL HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01052944A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000235706
ANTHEM
IN
01
—
000000381971
ANTHEM - NICC
—
01
—
045019
SHIO - NICC
—
01
—
1727118
CIGNA
IN
05
—
200403200
—
IN
05
—
200403200B
—
IN
01
—
P00305291
RRMCR - NICC
IN
01
—
P00362329
RRMCR - NICC
KY
Enumeration date
07/28/2005
Last updated
06/14/2016
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