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NPI 1538619366

NPI 1538619366 : JENNIFER HINMAN DNP-APRN-FNP-C : STROUD, OK

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General NPI Number Information
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    NPI Number           |    1538619366
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER HINMAN DNP-APRN-FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/05/2016
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    Last Update Date     |    09/30/2017
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Provider Practice Location Address
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    Address Line         |    2308 W HIGHWAY 66 # B 
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    City                 |    STROUD
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    State                |    OK
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    Zip                  |    74079-6729
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    Country              |    US
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    Telephone            |    918-968-1642
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    Fax                  |    918-987-1622
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Provider Business Mailing Address
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    Address Line         |    2308 W HIGHWAY 66 
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    City                 |    STROUD
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    State                |    OK
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    Zip                  |    74079-6729
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    Country              |    US
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    Telephone            |    918-968-1642
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    Fax                  |    918-987-1622
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    86350
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    License Number State |    OK
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