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General NPI Number Information
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NPI Number | 1023402005
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Entity Type | Organization
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Legal Business Name | PAMELA S HILL
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 260 WONDER ST #203
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City | RENO
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State | NV
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Zip | 89502-2474
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Country | US
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Telephone | 775-677-4417
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Fax | 775-677-4417
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Provider Business Mailing Address
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Address Line | 11620 DEODAR WAY
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City | RENO
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State | NV
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Zip | 89506-9498
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Country | US
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Telephone | 775-677-4417
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Fax | 775-677-4417
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Authorized Official
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Title or Position | OWNER/.SOLE PROPRIETOR
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Name | PAMELA S HILL
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Credential | LADC
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Telephone | 775-677-4417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 00129-L
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License Number State | NV
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