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General NPI Number Information
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NPI Number | 1164751541
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Entity Type | Organization
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Legal Business Name | DENNIS R HILL MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 04/26/2011
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Provider Practice Location Address
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Address Line | 3012 SUMMIT ST # 2675
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City | OAKLAND
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State | CA
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Zip | 94609-3480
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Country | US
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Telephone | 510-869-8875
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Fax | 510-869-8882
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Provider Business Mailing Address
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Address Line | 3012 SUMMIT ST # 2675
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City | OAKLAND
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State | CA
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Zip | 94609-3480
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Country | US
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Telephone | 510-869-8875
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Fax | 510-869-8882
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENNIS R HILL
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Credential | M.D.
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Telephone | 510-869-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | G17225
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License Number State | CA
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