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General NPI Number Information
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NPI Number | 1881578383
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Entity Type | Organization
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Legal Business Name | GEORGE FEHRENBACHER M.D., INC.
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3576 NORTHRANCH WAY
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City | ROSEVILLE
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State | CA
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Zip | 95661-5973
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Country | US
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Telephone | 209-956-9160
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 230
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City | LODI
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State | CA
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Zip | 95241-0230
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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 | MD OWNER
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Name | GEORGE FEHRENBACHER
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Credential | MD
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Telephone | 209-956-9160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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