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NPI 1689894842

NPI 1689894842 : HILLARY JOSEPH FREDRICKSON ND : GREENBRAE, CA

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General NPI Number Information
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    NPI Number           |    1689894842
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    Entity Type          |    Individual 
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    Provider Name        |    HILLARY JOSEPH FREDRICKSON ND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/27/2007
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    Last Update Date     |    08/29/2025
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Provider Practice Location Address
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    Address Line         |    599 SIR FRANCIS DRAKE BLVD STE 203 
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    City                 |    GREENBRAE
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    State                |    CA
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    Zip                  |    94904-1731
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    Country              |    US
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    Telephone            |    415-569-3990
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    Fax                  |    415-453-6732
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Provider Business Mailing Address
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    Address Line         |    599 SIR FRANCIS DRAKE BLVD STE 203 
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    City                 |    GREENBRAE
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    State                |    CA
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    Zip                  |    94904-1731
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    Country              |    US
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    Telephone            |    415-569-3990
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    Fax                  |    415-453-6732
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    ND-960
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    License Number State |    CA
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