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General NPI Number Information
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NPI Number | 1285754697
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Entity Type | Organization
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Legal Business Name | HILL DENTISTRY, LTD.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 2917 CROSSING CT STE A
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City | CHAMPAIGN
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State | IL
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Zip | 61822-6185
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Country | US
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Telephone | 217-356-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 2917 CROSSING CT STE A
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City | CHAMPAIGN
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State | IL
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Zip | 61822-6185
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Country | US
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Telephone | 217-356-5260
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Fax |
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Authorized Official
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Title or Position | FINANCIAL BUSINESS MANAGER
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Name | MRS. DANA RICE
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Credential |
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Telephone | 217-649-9491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 060-007960
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License Number State | IL
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