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General NPI Number Information
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NPI Number | 1154460491
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Entity Type | Organization
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Legal Business Name | DR.HILLI FAMILY PRACTICE AND WELLNESS CENTER
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 511 BECKETT RD UNIT 8
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1548
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Country | US
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Telephone | 856-241-2844
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Fax | 856-241-2855
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Provider Business Mailing Address
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Address Line | 511 BECKETT RD UNIT 8
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1548
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Country | US
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Telephone | 856-241-2844
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Fax | 856-241-2855
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Authorized Official
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Title or Position | FAMILY PRACTICE
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Name | DR. RULA AHMED AL-HILLI
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Credential | M.D
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Telephone | 856-241-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 25MA07651500
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License Number State | NJ
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