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General NPI Number Information
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NPI Number | 1114191038
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Entity Type | Organization
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Legal Business Name | CHARLES M. HINKLE DDS
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 1768 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-5336
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Country | US
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Telephone | 918-745-0994
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Fax | 918-745-8971
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Provider Business Mailing Address
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Address Line | 1223 E 27TH ST
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City | TULSA
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State | OK
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Zip | 74114-3913
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Country | US
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Telephone | 918-745-0994
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Fax | 918-745-8971
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES MICHAEL HINKLE
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Credential | DDS
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Telephone | 918-745-0994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4244
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License Number State | OK
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