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General NPI Number Information
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NPI Number | 1174807788
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Entity Type | Organization
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Legal Business Name | KIMBERLY M HILL O.D.AND ASSOCIATES
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 1414 PARKWAY
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City | SEVIERVILLE
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State | TN
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Zip | 37862-2845
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Country | US
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Telephone | 865-429-1662
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Fax | 901-429-7239
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Provider Business Mailing Address
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Address Line | 7811 SATINWOOD PL
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City | CORDOVA
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State | TN
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Zip | 38016-3309
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Country | US
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Telephone | 901-552-3157
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Fax | 901-471-3786
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. COBURN SAYRE HOWELL III
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Credential |
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Telephone | 901-552-3157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2215
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License Number State | TN
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