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General NPI Number Information
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NPI Number | 1205806759
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Entity Type | Individual
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Provider Name | JASON LLOYD HILL D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 1 CHOCTAW WAY
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City | TALIHINA
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State | OK
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Zip | 74571-2022
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Country | US
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Telephone | 918-567-7000
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Fax | 918-567-7113
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Provider Business Mailing Address
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Address Line | RR 2 BOX 1660
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City | TALIHINA
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State | OK
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Zip | 74571-9516
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Country | US
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Telephone | 918-567-4057
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3763
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License Number State | OK
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