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General NPI Number Information
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NPI Number | 1073654430
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Entity Type | Individual
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Provider Name | HEATHER MARIE HINSON O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 09/11/2009
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Provider Practice Location Address
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Address Line | 912 N HAWLEY RD
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City | MILWAUKEE
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State | WI
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Zip | 53213-3222
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Country | US
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Telephone | 414-615-0196
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Fax | 414-615-0167
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Provider Business Mailing Address
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Address Line | 12032 W PLAINFIELD AVE
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City | GREENFIELD
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State | WI
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Zip | 53228-1857
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Country | US
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Telephone | 414-543-0627
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Fax | 414-328-8030
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2259
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 2259
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License Number State | WI
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