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NPI 1376575415

NPI 1376575415 : KELLI D HILL PHD : MASON CITY, IA

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General NPI Number Information
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    NPI Number           |    1376575415
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    Entity Type          |    Individual 
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    Provider Name        |    KELLI D HILL PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/07/2006
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    103 E STATE ST STE 435 
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    City                 |    MASON CITY
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    State                |    IA
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    Zip                  |    50401-3325
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    Country              |    US
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    Telephone            |    641-458-3072
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    Fax                  |    641-458-3072
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Provider Business Mailing Address
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    Address Line         |    103 E STATE ST 
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    City                 |    MASON CITY
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    State                |    IA
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    Zip                  |    50401-3300
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    Country              |    US
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    Telephone            |    641-458-3072
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    Fax                  |    641-458-3072
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    00906
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    License Number State |    IA
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