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General NPI Number Information
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NPI Number | 1295758670
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Entity Type | Organization
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Legal Business Name | HILL & LLEWELLYN, LLC.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2490 S. WOODWORTH LOOP SUITE 401
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City | PALMER
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State | AK
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Zip | 99645
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Country | US
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Telephone | 907-745-9310
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Fax | 907-745-9301
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Provider Business Mailing Address
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Address Line | 2490 S. WOODWORTH LOOP SUITE 401
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City | PALMER
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State | AK
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Zip | 99645
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Country | US
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Telephone | 907-745-9310
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Fax | 907-745-9301
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Authorized Official
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Title or Position | NCMA/OFFICE MANAGER
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Name | MRS. KATHERINE DIANE CARLSON
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Credential |
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Telephone | 907-745-3910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | AA2767
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | AA2762
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License Number State | AK
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