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General NPI Number Information
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NPI Number | 1396794137
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Entity Type | Individual
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Provider Name | JENNIFER M. HINTON P. A.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 1555 KINGSLEY AVE SUITE 503
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City | ORANGE PARK
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State | FL
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Zip | 32073-9207
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Country | US
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Telephone | 904-278-5088
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Fax | 904-264-4910
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Provider Business Mailing Address
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Address Line | 998 BROWNS RD
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City | MIDDLEBURG
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State | FL
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Zip | 32068-3306
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Country | US
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Telephone | 904-555-1212
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | PA9103166
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License Number State | FL
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