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General NPI Number Information
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NPI Number | 1699091694
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Entity Type | Individual
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Provider Name | JEANNINE LAVONNE HINDS M.D., LAC
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Gender | Female
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3501 N SCOTTSDALE RD STE 280
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5650
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Country | US
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Telephone | 312-363-7250
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Fax | 936-244-4643
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Provider Business Mailing Address
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Address Line | 8485 E MCDONALD DR # 214
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-6335
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Country | US
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Telephone | 312-363-7250
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Fax | 936-244-4643
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LAC21081
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 48018
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 48018
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License Number State | AZ
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