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General NPI Number Information
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NPI Number | 1487178521
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Entity Type | Individual
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Provider Name | MARY ELAINE HINTON PTA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 07/31/2017
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Provider Practice Location Address
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Address Line | 55 FOUNDATION DR
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-9815
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Country | US
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Telephone | 606-849-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 10337 STATE ROUTE 136
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City | WEST UNION
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State | OH
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Zip | 45693-9306
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Country | US
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Telephone | 937-798-9426
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 011463
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License Number State | OH
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