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General NPI Number Information
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NPI Number | 1407411713
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Entity Type | Individual
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Provider Name | DANIEL EDWARD HINTZE MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 570 W BROWN RD
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City | MESA
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State | AZ
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Zip | 85201-3227
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Country | US
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Telephone | 480-344-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-8034
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Country | US
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Telephone | 602-470-5000
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Fax | 602-470-5064
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 68971
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License Number State | AZ
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