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General NPI Number Information
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NPI Number | 1235235656
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Entity Type | Individual
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Provider Name | ANDREW JAMES HILL O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 3 S BERKLEY ST
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City | LOUISBURG
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State | KS
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Zip | 66053-3578
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Country | US
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Telephone | 913-837-3636
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Fax | 913-837-5641
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | LOUISBURG
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State | KS
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Zip | 66053-0397
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Country | US
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Telephone | 913-837-3636
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Fax | 913-837-5641
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1481-3
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License Number State | KS
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