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General NPI Number Information
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NPI Number | 1386063345
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Entity Type | Individual
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Provider Name | ERIN HENDRICKS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1355 MARINERS DR
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City | WARSAW
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State | IN
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Zip | 46582-7145
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Country | US
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Telephone | 574-372-1278
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Fax | 574-372-1275
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Provider Business Mailing Address
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Address Line | 11109 PARKVIEW PLAZA DR # 117
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City | FORT WAYNE
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State | IN
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Zip | 46845-1701
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01080318A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 64966
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License Number State | WI
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