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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers |
| NPI # | 1215336508 |
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| LBN Legal business name | MARK NEAL HENDRIXSON MD | ||||
| Authorized official | MARK HENDRIXSON - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/22/2014 | ||||
| Last updated | 06/26/2024 - More than a year ago | ||||
| Identifiers |
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MARK NEAL HENDRIXSON MD