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General NPI Number Information
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NPI Number | 1649481896
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Entity Type | Individual
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Provider Name | BONNIE E. HINCKLEY F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 5506 N ROAD 68
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City | PASCO
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State | WA
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Zip | 99301
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Country | US
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Telephone | 509-942-3052
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Fax | 509-622-2708
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Provider Business Mailing Address
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Address Line | 550 GAGE BLVD STE 101
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City | RICHLAND
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State | WA
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Zip | 99352-9532
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Country | US
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Telephone | 509-942-3052
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Fax | 509-622-2708
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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 | AP2683
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60872232
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License Number State | WA
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