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General NPI Number Information
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NPI Number | 1255664983
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Entity Type | Individual
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Provider Name | JUSTIN MICHAEL HILL PH.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 12600 HILL COUNTRY BLVD STE R-275
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City | BEE CAVE
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State | TX
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Zip | 78738-6768
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Country | US
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Telephone | 512-697-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 12600 HILL COUNTRY BLVD STE R-275
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City | BEE CAVE
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State | TX
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Zip | 78738-6768
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Country | US
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Telephone | 512-697-9123
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 9197
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37753
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License Number State | TX
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