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General NPI Number Information
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NPI Number | 1346880580
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Entity Type | Individual
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Provider Name | DIANA MARIE HINES MSN, CPNP-AC/PC
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Gender | Female
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 111 MICHIGAN AVE, NW ORTHOPAEDICS DEPARTMENT
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City | WASHINGTON
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State | DC
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Zip | 20010
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Country | US
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Telephone | 202-476-4063
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Fax |
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Provider Business Mailing Address
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Address Line | 12801 NORWOOD LN
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-6314
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Country | US
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Telephone | 240-338-3183
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | R197559
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | RN1024734
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License Number State | DC
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