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General NPI Number Information
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NPI Number | 1174587471
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Entity Type | Individual
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Provider Name | CHARLES JEFFERSON HINES M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 1200 E SAVANNAH AVE SUITE # 8
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City | MCALLEN
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State | TX
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Zip | 78503-1727
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Country | US
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Telephone | 956-631-8888
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Fax | 956-631-1037
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Provider Business Mailing Address
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Address Line | 1200 E SAVANNAH AVE SUITE # 8
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City | MCALLEN
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State | TX
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Zip | 78503-1727
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Country | US
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Telephone | 956-631-8888
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Fax | 956-631-1037
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E2618
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License Number State | TX
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