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General NPI Number Information
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NPI Number | 1700205556
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Entity Type | Organization
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Legal Business Name | THE HENDRICKS GROUP INC.
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 3808 BLACKHAWK RIDGE PL
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City | EAGAN
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State | MN
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Zip | 55122-1263
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Country | US
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Telephone | 651-714-7075
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Fax | 651-344-4401
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Provider Business Mailing Address
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Address Line | 1355 MENDOTA HEIGHTS RD STE 260
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City | SAINT PAUL
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State | MN
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Zip | 55120-1168
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Country | US
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Telephone | 651-451-2889
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Fax | 651-451-5955
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Authorized Official
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Title or Position | VP, CONTROLLER
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Name | LEIGH ANN THOMPSON
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Credential |
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Telephone | 615-948-6597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 360014
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License Number State | MN
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