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Individual
MRS. SUSAN A HINES
Active
Individual
MRS. SUSAN A HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
900038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08010491
MEDICARE RAILROAD
NC
01
—
10948
NCBCBS
NC
05
—
8910948
—
NC
Enumeration date
07/13/2006
Last updated
12/17/2013
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