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General NPI Number Information
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NPI Number | 1215693114
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Entity Type | Individual
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Provider Name | TANIA LEE HILL MS
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Gender | Female
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 1445 E PUTNAM AVE
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1379
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Country | US
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Telephone | 203-583-0115
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Fax |
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Provider Business Mailing Address
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Address Line | 12 MOHEGAN AVE
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City | STAMFORD
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State | CT
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Zip | 06902-7410
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Country | US
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Telephone | 203-583-0115
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 004328
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License Number State | CT
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