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General NPI Number Information
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NPI Number | 1588708424
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Entity Type | Organization
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Legal Business Name | DR. CHARLES HINZ D.O. P.C.
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 315 GRAHAM AVE
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City | BROOKLYN
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State | NY
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Zip | 11211-3735
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Country | US
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Telephone | 718-384-1834
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Fax | 718-384-4738
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Provider Business Mailing Address
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Address Line | 315 GRAHAM AVE
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City | BROOKLYN
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State | NY
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Zip | 11211-3735
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Country | US
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Telephone | 718-384-1834
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Fax | 718-384-4738
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTINE HINZ
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Credential |
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Telephone | 718-384-1834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 226503
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License Number State | NY
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