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General NPI Number Information
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NPI Number | 1417418468
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Entity Type | Individual
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Provider Name | ANDREW MARK HINSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2019
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 1701 S SHACKLEFORD RD
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4335
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Country | US
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Telephone | 501-219-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 407 E DAISY L GATSON BATES DR
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City | LITTLE ROCK
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State | AR
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Zip | 72202-5503
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Country | US
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Telephone | 12-197-0005
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | E-18386
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License Number State | AR
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