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General NPI Number Information
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NPI Number | 1013384064
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Entity Type | Organization
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Legal Business Name | NIKKI D. HILL MD LLC
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 2256 NORTHLAKE PKWY SUITE 300A
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City | TUCKER
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State | GA
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Zip | 30084-4034
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Country | US
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Telephone | 888-622-1682
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Fax | 888-622-1751
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Provider Business Mailing Address
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Address Line | 2256 NORTHLAKE PKWY SUITE 300A
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City | TUCKER
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State | GA
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Zip | 30084-4034
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Country | US
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Telephone | 888-622-1682
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Fax | 888-622-1751
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Authorized Official
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Title or Position | OWNER
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Name | DR. NIKKI D HILL
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Credential | MD
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Telephone | 404-452-2380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 71694
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License Number State | GA
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