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General NPI Number Information
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NPI Number | 1023172277
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Entity Type | Organization
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Legal Business Name | PREMISE HEALTH OF NEVADA MEDICAL HINITT P C
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 810 N DIERS AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4968
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Country | US
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Telephone | 308-381-2224
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Fax | 308-398-1477
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Provider Business Mailing Address
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Address Line | 5500 MARYLAND WAY STE 120
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City | BRENTWOOD
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State | TN
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Zip | 37027-4993
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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 | PRESIDENT
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Name | DR. STEVEN A HINITT
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Credential | MD
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Telephone | 844-407-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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