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General NPI Number Information
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NPI Number | 1194867507
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Entity Type | Organization
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Legal Business Name | MARY HELEN HILL MD PLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 2616 SHERWOOD HALL LN SUITE 105
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3100
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Country | US
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Telephone | 703-360-2332
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Fax | 703-360-2982
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Provider Business Mailing Address
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Address Line | 2616 SHERWOOD HALL LN SUITE 105
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City | ALEXANDRIA
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State | VA
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Zip | 22306-3100
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Country | US
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Telephone | 703-360-2332
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Fax | 703-360-2982
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARY HELEN HILL
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Credential | MD
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Telephone | 703-360-2332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101231879
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License Number State | VA
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