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General NPI Number Information
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NPI Number | 1255370904
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Entity Type | Individual
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Provider Name | YVONNE C HINES M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 555 PLEASANT ST SUITE 106
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City | ATTLEBORO
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State | MA
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Zip | 02703-2400
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Country | US
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Telephone | 508-222-1976
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Fax | 508-226-9619
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Provider Business Mailing Address
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Address Line | 555 PLEASANT ST SUITE 106
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City | ATTLEBORO
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State | MA
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Zip | 02703-2400
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Country | US
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Telephone | 508-431-5900
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Fax | 508-226-9619
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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 | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 52045
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License Number State | MA
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