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General NPI Number Information
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NPI Number | 1134206576
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Entity Type | Individual
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Provider Name | KEARN DAVID HINCHMAN DO
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 53779 GENERATIONS DRIVE SUITE 1
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City | SOUTH BEND
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State | IN
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Zip | 46635
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Country | US
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Telephone | 574-258-6316
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Fax | 574-258-6307
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Provider Business Mailing Address
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Address Line | 11042 BIRCH LAKE DR
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City | SOUTH BEND
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State | IN
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Zip | 46635
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Country | US
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Telephone | 574-258-6316
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Fax | 574-258-6307
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H1441
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 02001423
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License Number State | IN
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