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General NPI Number Information
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NPI Number | 1447496773
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Entity Type | Individual
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Provider Name | DENA HINES M.ED., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3905 GEORGIA DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-7718
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Country | US
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Telephone | 252-373-3270
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Fax |
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Provider Business Mailing Address
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Address Line | 3905 GEORGIA DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-7718
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Country | US
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Telephone | 252-373-3270
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4539
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 29336
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9242
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP007874
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License Number State | GA
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