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NPI 1043550700

NPI 1043550700 : JOHN HINRICHS : YAKIMA, WA

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General NPI Number Information
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    NPI Number           |    1043550700
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN HINRICHS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/18/2013
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    Last Update Date     |    09/22/2021
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Provider Practice Location Address
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    Address Line         |    918 E MEAD AVE 
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    City                 |    YAKIMA
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    State                |    WA
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    Zip                  |    98903-3720
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    Country              |    US
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    Telephone            |    509-453-1344
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    Fax                  |    509-453-2209
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Provider Business Mailing Address
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    Address Line         |    918 E MEAD AVE 
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    City                 |    YAKIMA
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    State                |    WA
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    Zip                  |    98903-3720
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    Country              |    US
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    Telephone            |    509-453-1344
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    Fax                  |    509-453-2209
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    60860852
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    AP61166261
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    License Number State |    WA
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