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General NPI Number Information
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NPI Number | 1194703066
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Entity Type | Individual
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Provider Name | MARK RANDOLPH HILL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2006
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 6 HERMAN AVENUE EXT SUITE A
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City | ASHEVILLE
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State | NC
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Zip | 28803-9106
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Country | US
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Telephone | 828-684-9123
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Fax | 828-684-9383
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Provider Business Mailing Address
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Address Line | P.O. BOX 5922
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City | ASHEVILLE
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State | NC
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Zip | 28813-5922
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Country | US
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Telephone | 828-684-9123
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Fax | 828-684-9383
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 1858
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1858
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License Number State | NC
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