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General NPI Number Information
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NPI Number | 1124214184
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Entity Type | Individual
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Provider Name | TRACY MARIE HILGERT RN,BSN,RNFA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2007
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 2052 ALEXANDRIA ROW
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City | O FALLON
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State | MO
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Zip | 63368-8558
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Country | US
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Telephone | 618-225-7689
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Fax | 618-466-4668
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Provider Business Mailing Address
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Address Line | 2052 ALEXANDRIA ROW
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City | O FALLON
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State | MO
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Zip | 63368-8558
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Country | US
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Telephone | 618-225-7689
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Fax | 618-466-4668
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 119634
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License Number State | MO
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