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General NPI Number Information
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NPI Number | 1083409288
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Entity Type | Organization
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Legal Business Name | HILL SMALL FAMILY HOME
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 9302 RIVIERA DEL SOL DR
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City | BAKERSFIELD
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State | CA
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Zip | 93314-8562
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Country | US
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Telephone | 661-717-8896
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Fax |
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Provider Business Mailing Address
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Address Line | 9105 WILLOW TERRACE DR
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City | SHAFTER
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State | CA
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Zip | 93263-9473
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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 | CEO/ADMIN
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Name | AYAN HILL
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Credential |
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Telephone | 661-717-8896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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