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General NPI Number Information
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NPI Number | 1326392309
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Entity Type | Organization
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Legal Business Name | KATHLEEN K HILLMAN, LCSW, PA
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 7100 CAMINO REAL STE 401
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 954-360-9230
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 CAMINO REAL STE 401
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 954-360-9230
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN KERLEY HILLMAN
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Credential | LCSW
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Telephone | 954-360-9230
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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 | SW0001653
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License Number State | FL
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