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General NPI Number Information
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NPI Number | 1215671946
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Entity Type | Individual
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Provider Name | HARRIET HILL
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Gender | Female
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 12211 PEGASUS RD
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City | BELLEMONT
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State | AZ
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Zip | 86015-5112
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Country | US
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Telephone | 298-421-3581
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Fax |
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Provider Business Mailing Address
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Address Line | 3803 N BERN ST
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-2205
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 31758
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License Number State | AZ
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