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General NPI Number Information
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NPI Number | 1508191248
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Entity Type | Individual
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Provider Name | MATTHEW MARTIN HINE M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 2347 ROSSVILLE BLVD
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City | CHATTANOOGA
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State | TN
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Zip | 37408-2250
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Country | US
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Telephone | 423-265-3122
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Fax | 423-265-2932
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-538-1866
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Fax | 615-807-3674
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD-12998
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 45249
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 12998
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 45249
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License Number State | TN
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