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General NPI Number Information
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NPI Number | 1346422979
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Entity Type | Organization
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Legal Business Name | DR KENT B HILL OPTOMETRIST PC
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 507 S LINCOLN AVE
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City | UNION
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State | MO
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Zip | 63084-2121
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Country | US
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Telephone | 636-583-3322
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Fax | 636-583-8328
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Provider Business Mailing Address
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Address Line | 507 S LINCOLN AVE
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City | UNION
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State | MO
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Zip | 63084-2121
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Country | US
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Telephone | 636-583-3322
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Fax | 636-583-8328
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. KENT B HILL
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Credential | OD
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Telephone | 636-583-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TO2166
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License Number State | MO
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