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NPI 1154464758

NPI 1154464758 : DELILAH JANE HILL BS : COOKEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1154464758
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    Entity Type          |    Individual 
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    Provider Name        |    DELILAH JANE HILL BS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/14/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1420 NEAL ST. SUITE 202
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-4313
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    Country              |    US
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    Telephone            |    931-525-6900
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    Fax                  |    931-525-6970
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Provider Business Mailing Address
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    Address Line         |    100 MADDUX CT APT. B-4
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    City                 |    ALGOOD
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    State                |    TN
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    Zip                  |    38506
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    Country              |    US
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    Telephone            |    931-525-6924
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    Fax                  |    931-525-6970
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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