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General NPI Number Information
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NPI Number | 1104738830
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Entity Type | Individual
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Provider Name | MICHAEL HINERTH DPT
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Gender | Male
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 3355 CASCADE RD SW
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City | ATLANTA
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State | GA
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Zip | 30311-3678
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Country | US
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Telephone | 404-616-4151
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Fax |
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Provider Business Mailing Address
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Address Line | 2934 BOULDER WALK CT SE
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City | ATLANTA
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State | GA
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Zip | 30316-3992
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Country | US
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Telephone | 850-748-2456
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT011881
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License Number State | GA
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