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Individual
DR. ROBERT HYNICK
Active
Individual
DR. ROBERT HYNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05004400L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1684769
BLUE SHIELD
PA
01
—
P00176021
RAILROAD MEDICARE
PA
Enumeration date
11/18/2005
Last updated
10/18/2012
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