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General NPI Number Information
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NPI Number | 1356421952
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Entity Type | Organization
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Legal Business Name | J.P. HILL, OD
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 1145 RIDGE RD
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City | ROCKWALL
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State | TX
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Zip | 75087-4217
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Country | US
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Telephone | 972-772-7854
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Fax | 972-772-7857
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Provider Business Mailing Address
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Address Line | 1145 RIDGE RD
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City | ROCKWALL
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State | TX
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Zip | 75087-4217
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Country | US
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Telephone | 972-772-7854
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Fax | 972-772-7857
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN P. HILL
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Credential | O.D.
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Telephone | 972-772-7854
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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 | 03478TG
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License Number State | TX
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