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General NPI Number Information
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NPI Number | 1093802217
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Entity Type | Organization
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Legal Business Name | DR. CARL HINTON, M.D., P.S.C.
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 407 US HIGHWAY 62 W
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City | PRINCETON
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State | KY
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Zip | 42445-2409
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Country | US
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Telephone | 270-365-9993
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Fax | 270-365-0533
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Provider Business Mailing Address
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Address Line | 407 US HIGHWAY 62 W PO BOX 418
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City | PRINCETON
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State | KY
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Zip | 42445-2409
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Country | US
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Telephone | 270-365-9993
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Fax | 270-365-0533
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARL BRUCE HINTON
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Credential | M.D., P.S.C.
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Telephone | 270-365-9993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 31827
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License Number State | KY
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