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General NPI Number Information
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NPI Number | 1366969206
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Entity Type | Individual
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Provider Name | BRENT ANDREW HINDMAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1701 WILLIAM FLYNN HWY
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City | GLENSHAW
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State | PA
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Zip | 15116-1747
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Country | US
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Telephone | 412-492-7902
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | PARKER
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State | PA
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Zip | 16049-0336
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Country | US
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Telephone | 724-841-4901
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP451744
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License Number State | PA
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