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General NPI Number Information
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NPI Number | 1255294468
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Entity Type | Organization
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Legal Business Name | HILL SUPPORTED LIVING LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2251 FLORIN RD. SUITE 96
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City | SACRAMENTO
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State | CA
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Zip | 95822
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Country | US
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Telephone | 279-333-5182
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Fax |
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Provider Business Mailing Address
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Address Line | 9146 E STOCKTON BLVD # 1166
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City | ELK GROVE
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State | CA
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Zip | 95624-9510
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Country | US
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Telephone | 279-333-5182
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIMBERLYN HILL
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Credential |
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Telephone | 279-333-5182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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