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General NPI Number Information
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NPI Number | 1326103458
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Entity Type | Individual
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Provider Name | TRACY A HILLMER LCSW
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 723 MAIN
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City | GOODLAND
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State | KS
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Zip | 67735
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Country | US
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Telephone | 785-899-5991
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Fax | 785-899-2533
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Provider Business Mailing Address
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Address Line | 723 MAIN
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City | GOODLAND
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State | KS
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Zip | 67735
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Country | US
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Telephone | 785-899-5991
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Fax | 985-899-2533
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1436
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSCSW 2331
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License Number State | KS
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