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General NPI Number Information
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NPI Number | 1013546340
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Entity Type | Individual
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Provider Name | ZACHARY SCOTT HINGER PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 107 E OAK AVE
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-1818
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Country | US
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Telephone | 928-779-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 851 POINTE VISTA CIR
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City | CORONA
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State | CA
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Zip | 92881-3968
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Country | US
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Telephone | 951-547-9913
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Fax |
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 7845
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 7845
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License Number State | AZ
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