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General NPI Number Information
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NPI Number | 1700755238
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Entity Type | Organization
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Legal Business Name | HENDRICKS MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2510 DOUGLAS BLVD STE 200
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City | ROSEVILLE
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State | CA
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Zip | 95661-3301
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Country | US
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Telephone | 530-217-5868
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Fax |
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Provider Business Mailing Address
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Address Line | 3240 PROFESSIONAL DR
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City | AUBURN
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State | CA
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Zip | 95602-2409
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Country | US
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Telephone | 530-217-5868
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | AUSTIN FLOHR
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Credential |
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Telephone | 530-217-5868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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