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General NPI Number Information
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NPI Number | 1386841716
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Entity Type | Individual
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Provider Name | JENNIFER LYNN HENDRICKS D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 5868 N HAMILTON RD STE 200
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City | COLUMBUS
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State | OH
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Zip | 43230-1328
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Country | US
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Telephone | 614-788-9370
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 FRANTZ RD STE 236
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City | DUBLIN
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State | OH
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Zip | 43016-4135
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14994
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.012883
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License Number State | OH
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