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General NPI Number Information
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NPI Number | 1073127353
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Entity Type | Individual
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Provider Name | ROBERT S. HILL
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Gender | Male
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 1514 FORT DAVIS ST SE
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City | WASHINGTON
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State | DC
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Zip | 20020-6026
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Country | US
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Telephone | 202-215-2610
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Fax |
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Provider Business Mailing Address
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Address Line | 601 EDGEWOOD ST NE APT 222
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City | WASHINGTON
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State | DC
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Zip | 20017-3344
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Country | US
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Telephone | 202-677-0753
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 372600000X
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License Number State | DC
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