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General NPI Number Information
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NPI Number | 1114107646
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Entity Type | Individual
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Provider Name | RICHARD STEPHEN HILL L.C.S.W., L.M.F.T.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 7311 POLLARD ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-2138
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Country | US
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Telephone | 317-213-0907
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Fax |
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Provider Business Mailing Address
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Address Line | 7311 POLLARD ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-2138
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Country | US
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Telephone | 317-213-0907
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34002254
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License Number State | IN
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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 | 35000814
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License Number State | IN
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