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General NPI Number Information
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NPI Number | 1265036255
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Entity Type | Organization
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Legal Business Name | HINSON HEALTH LLC
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 104 N 3RD ST
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8581
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Country | US
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Telephone | 903-513-1327
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Fax | 318-448-6454
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Provider Business Mailing Address
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Address Line | PO BOX 13440
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City | ALEXANDRIA
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State | LA
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Zip | 71315-3440
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Country | US
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Telephone | 903-513-1327
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Fax |
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Authorized Official
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Title or Position | MD/OWNER
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Name | TYLER K HINSON
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Credential | MD
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Telephone | 903-513-1327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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