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General NPI Number Information
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NPI Number | 1114649464
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Entity Type | Individual
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Provider Name | THOMAS WILLIAM HYNES PA
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Gender | Male
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Dates
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Enumeration Date | 09/14/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 2767 OLIVE HWY
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City | OROVILLE
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State | CA
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Zip | 95966-6118
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Country | US
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Telephone | 530-538-5650
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 NORD HWY APT 250
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City | CHICO
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State | CA
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Zip | 95973-9691
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Country | US
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Telephone | 508-494-2990
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 61879
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA61879
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License Number State | CA
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