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General NPI Number Information
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NPI Number | 1801601109
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Entity Type | Organization
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Legal Business Name | NORCAL PAIN TREATMENT CENTER CORP
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1117 W TOKAY ST STE A
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City | LODI
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State | CA
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Zip | 95240-3844
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Country | US
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Telephone | 209-448-3000
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Fax | 209-442-4116
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Provider Business Mailing Address
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Address Line | PO BOX 1462
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City | HUGHSON
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State | CA
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Zip | 95326-1462
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Country | US
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Telephone | 209-448-3000
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | BRENDA LINDENBERG
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Credential |
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Telephone | 209-442-6631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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