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General NPI Number Information
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NPI Number | 1053060459
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Entity Type | Individual
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Provider Name | KIMBERLY ROCHELLE HILL
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 11282 SPRUCE AVE
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City | BLOOMINGTON
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State | CA
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Zip | 92316-3228
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Country | US
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Telephone | 909-877-3330
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Fax | 909-820-7446
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Provider Business Mailing Address
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Address Line | PO BOX 3134
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729-3134
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 144512
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License Number State | CA
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