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General NPI Number Information
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NPI Number | 1134487796
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Entity Type | Individual
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Provider Name | JAMIE EDWARD HILL DNP, ACNP-BC
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Gender | Male
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Dates
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Enumeration Date | 05/01/2012
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Last Update Date | 03/17/2019
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Provider Practice Location Address
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Address Line | 580 W COLLEGE AVE
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City | MARQUETTE
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State | MI
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Zip | 49855-2736
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Country | US
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Telephone | 831-325-3449
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Fax |
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Provider Business Mailing Address
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Address Line | 54 OAK HILL DR
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City | MARQUETTE
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State | MI
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Zip | 49855-9446
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Country | US
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Telephone | 831-325-3449
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 20973
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4704228655
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License Number State | MI
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