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NPI Code Detail

MEDICARE: MRS. CORI DAWN HILL M.S., CCC-SLP

MEDICARE: MRS. CORI DAWN HILL M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA 5561FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17567256OTHERFLAETNA
2S2212OTHERFLBCBS

General Provider Information

NPI Number : 1235228610
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CORI DAWN HILL M.S., CCC-SLP
Provider Business Mailing Address
First Line : 4696 CAHOKIA RUN
Second Line :
City : CRESTVIEW
State : FL
Zip : 32539-5720
Country : US
Telephone Number : 850-682-6810
Fax Number :
Provider Business Practice Location Address
First Line : 4 JACKSON ST NE
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32548-4925
Country : US
Telephone Number : 850-862-7227
Fax Number : 850-862-2421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/08/2007

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