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General NPI Number Information
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NPI Number | 1225368327
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Entity Type | Individual
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Provider Name | ANITA KELLY HILLIARD
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 1490 UNIVERSITY BLVD
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City | HAMILTON
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State | OH
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Zip | 45011-3305
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Country | US
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Telephone | 513-881-7189
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Fax | 513-881-7188
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Provider Business Mailing Address
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Address Line | 717 PINE ST
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City | HAMILTON
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State | OH
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Zip | 45011-1725
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Country | US
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Telephone | 513-737-5829
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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