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General NPI Number Information
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NPI Number | 1134567753
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Entity Type | Organization
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Legal Business Name | RHONDA K HILLEGONDS, LCSW LLC
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 2331 45TH ST
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City | HIGHLAND
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State | IN
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Zip | 46322-2602
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Country | US
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Telephone | 219-781-5996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 177
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City | CEDAR LAKE
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State | IN
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Zip | 46303-0177
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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 | CLINICAL SOCIAL WORKER
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Name | MS. RHONDA KAY HILLEGONDS
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Credential | LCSW
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Telephone | 219-781-5996
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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 |
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License Number State |
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