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General NPI Number Information
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NPI Number | 1235588377
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Entity Type | Individual
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Provider Name | RACHEL C HILL M.A., A.T.C.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2016
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 28668 LIVE OAK RD
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City | HIGHLAND
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State | CA
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Zip | 92346-5218
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Country | US
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Telephone | 909-644-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 28668 LIVE OAK RD
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City | HIGHLAND
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State | CA
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Zip | 92346-5218
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Country | US
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Telephone | 909-644-1029
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 070202021
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License Number State | CA
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