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General NPI Number Information
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NPI Number | 1144251893
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Entity Type | Individual
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Provider Name | DE LYS EVA ST HILL MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 2182 MORRIS AVE
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City | UNION
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State | NJ
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Zip | 07083-5902
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Country | US
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Telephone | 908-851-2666
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Fax |
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Provider Business Mailing Address
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Address Line | 25 W 132ND ST APT 5C
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City | NEW YORK
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State | NY
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Zip | 10037-3220
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Country | US
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Telephone | 646-241-7910
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Fax | 917-456-3543
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 178853
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 178853
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25MA09606500
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 25MA09606500
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License Number State | NJ
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