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General NPI Number Information
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NPI Number | 1245354166
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Entity Type | Individual
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Provider Name | DELORES HILL OTR
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Gender | Female
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 419 N EXTON AVE #6
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City | INGLEWOOD
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State | CA
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Zip | 90302-3161
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Country | US
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Telephone | 702-858-7092
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Fax | 310-674-3277
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Provider Business Mailing Address
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Address Line | 7224 PERIWINKLE DR
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City | LAS VEGAS
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State | NV
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Zip | 89128-3419
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Country | US
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Telephone | 702-858-7092
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Fax | 310-674-3277
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9122
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License Number State | CA
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