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NPI 1548381544

NPI 1548381544 : LYNNE CATHERINE DAVID HINKLE PA-C, ND, MSOM, MS : NORTHAMPTON, MA

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General NPI Number Information
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    NPI Number           |    1548381544
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    Entity Type          |    Individual 
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    Provider Name        |    LYNNE CATHERINE DAVID HINKLE PA-C, ND, MSOM, MS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2007
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    Last Update Date     |    08/11/2020
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Provider Practice Location Address
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    Address Line         |    395 PLEASANT ST 
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    City                 |    NORTHAMPTON
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    State                |    MA
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    Zip                  |    01060-3914
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    Country              |    US
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    Telephone            |    413-584-7787
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    395 PLEASANT ST 
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    City                 |    NORTHAMPTON
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    State                |    MA
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    Zip                  |    01060-3914
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    Country              |    US
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    Telephone            |    413-584-7787
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA7490
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    PA790
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    License Number State |    CA
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