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General NPI Number Information
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NPI Number | 1851246797
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Entity Type | Individual
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Provider Name | LASHANNON ARNEISHA HINKLE
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Gender | Female
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 2518 S HARLEM AVE
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City | NORTH RIVERSIDE
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State | IL
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Zip | 60546-1692
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Country | US
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Telephone | 708-442-5189
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 LINCOLN AVE APT 311
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City | NORTH RIVERSIDE
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State | IL
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Zip | 60546-1692
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Country | US
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Telephone | 708-785-0368
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070.029749
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License Number State | IL
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