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General NPI Number Information
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NPI Number | 1316032147
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Entity Type | Individual
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Provider Name | RONALD G ST. HILL MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 1225 W 190TH ST STE 280
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City | GARDENA
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State | CA
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Zip | 90248-4305
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Country | US
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Telephone | 877-515-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 927 BROADWAY ST
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City | QUINCY
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State | IL
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Zip | 62301-2719
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Country | US
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Telephone | 217-224-4453
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Fax | 217-224-9383
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036-113170
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | Q2392
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 186820
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | Q2392
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 186820
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 036-113170
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License Number State | IL
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