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General NPI Number Information
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NPI Number | 1386248292
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Entity Type | Individual
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Provider Name | MATTHEW MICHAEL HILL PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 412 N 200 E
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City | LOGAN
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State | UT
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Zip | 84321-4038
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Country | US
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Telephone | 435-713-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 412 N 200 E
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City | LOGAN
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State | UT
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Zip | 84321-4038
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Country | US
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Telephone | 435-713-2800
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Fax | 435-713-2835
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 8740
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 12764152-1206
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12764152-1206
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License Number State | UT
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