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General NPI Number Information
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NPI Number | 1295669117
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Entity Type | Individual
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Provider Name | TRAGER DARIN HINTZE
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Gender | Male
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1001 NE J ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-4932
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Country | US
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Telephone | 479-501-7736
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Fax |
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Provider Business Mailing Address
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Address Line | 15191 N MOUNT OLIVE RD
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City | GRAVETTE
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State | AR
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Zip | 72736-9216
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Country | US
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Telephone |
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 18579
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License Number State | OK
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