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General NPI Number Information
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NPI Number | 1316860083
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Entity Type | Individual
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Provider Name | ASHLEY HINES
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Gender |
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 3737 LAWTON ST
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City | DETROIT
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State | MI
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Zip | 48208-2500
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Country | US
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Telephone | 313-361-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 5380 OAKMAN BLVD
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City | DETROIT
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State | MI
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Zip | 48204-2685
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Country | US
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Telephone | 248-667-1163
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 4703111239
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License Number State | MI
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