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General NPI Number Information
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NPI Number | 1750419701
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Entity Type | Individual
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Provider Name | JENNIFER LEE HINZ LPN
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 4146 SISSON RD
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City | MACHIAS
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State | NY
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Zip | 14101-9759
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Country | US
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Telephone | 716-353-8028
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Fax |
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Provider Business Mailing Address
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Address Line | 4146 SISSON RD
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City | MACHIAS
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State | NY
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Zip | 14101-9759
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Country | US
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Telephone | 716-353-8028
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 260761-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 524173
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License Number State | NY
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