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NPI 1265223184

NPI 1265223184 : VIRGINIA HILL ED.S., NCSP : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1265223184
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    Entity Type          |    Individual 
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    Provider Name        |    VIRGINIA HILL ED.S., NCSP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/13/2025
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    8506 E 61ST ST 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74133-1916
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    Country              |    US
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    Telephone            |    918-357-6125
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11634 E 123RD PL S 
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    City                 |    BROKEN ARROW
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    State                |    OK
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    Zip                  |    74011-1302
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    Country              |    US
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    Telephone            |    201-247-6537
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    152527
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    License Number State |    OK
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