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NPI 1134422314

NPI 1134422314 : HILLER ORTHODONTICS : LITTLETON, NH

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General NPI Number Information
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    NPI Number           |    1134422314
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    Entity Type          |    Organization 
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    Legal Business Name  |    HILLER ORTHODONTICS 
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Dates
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    Enumeration Date     |    12/10/2010
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    Last Update Date     |    12/10/2010
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Provider Practice Location Address
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    Address Line         |    175 COTTAGE ST 
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    City                 |    LITTLETON
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    State                |    NH
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    Zip                  |    03561-4201
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    Country              |    US
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    Telephone            |    888-445-5372
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    Fax                  |    603-444-3316
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Provider Business Mailing Address
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    Address Line         |    175 COTTAGE ST 
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    City                 |    LITTLETON
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    State                |    NH
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    Zip                  |    03561-4201
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    Country              |    US
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    Telephone            |    888-445-5372
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    Fax                  |    603-444-3316
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. DENNIS  HILLER 
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    Credential           |    M.D.
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    Telephone            |    888-445-5372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    1864
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    License Number State |    NH
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