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General NPI Number Information
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NPI Number | 1811782840
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Entity Type | Individual
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Provider Name | ELLENA HINCK
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Gender | Female
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 4024 W 74TH ST
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2943
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Country | US
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Telephone | 191-337-2236
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 HEDGE LANE TER APT 202
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City | SHAWNEE
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State | KS
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Zip | 66226-4810
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Country | US
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Telephone | 660-287-8038
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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