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General NPI Number Information
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NPI Number | 1861565293
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Entity Type | Individual
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Provider Name | DANIEL TODD HANKINS MD
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Gender | Male
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 2500 NORTH STATE STREET
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-984-2538
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Fax | 601-815-1854
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Provider Business Mailing Address
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Address Line | 2500 NORTH STATE STREET
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City | JACKSON
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State | MS
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Zip | 39216
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Country | US
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Telephone | 601-984-2538
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Fax | 601-815-1854
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD2023-1354
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 26934
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21094
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License Number State | MS
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