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General NPI Number Information
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NPI Number | 1245607456
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Entity Type | Organization
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Legal Business Name | HILL HEALTH INC A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 3300 WEBSTER ST
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City | OAKLAND
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State | CA
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Zip | 94609-3117
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Country | US
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Telephone | 925-327-6964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 715
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City | SAN RAMON
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State | CA
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Zip | 94583-5715
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Country | US
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Telephone | 925-820-8300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS F LONG
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Credential | M.D.
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Telephone | 925-327-6964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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