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General NPI Number Information
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NPI Number | 1760964829
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Entity Type | Individual
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Provider Name | DAVID E HANKS PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1673 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1919
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Country | US
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Telephone | 479-521-0200
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Fax | 479-521-4942
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Provider Business Mailing Address
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Address Line | PO BOX 1523
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City | FAYETTEVILLE
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State | AR
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Zip | 72702-1523
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Country | US
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Telephone | 479-571-6038
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Fax | 479-582-0222
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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 | PA-1386
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License Number State | AR
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