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General NPI Number Information
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NPI Number | 1386390904
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Entity Type | Individual
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Provider Name | ANDREW HILL
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Gender | Male
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 103 FRONT ST
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City | NORTH MANCHESTER
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State | IN
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Zip | 46962-1529
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Country | US
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Telephone | 260-306-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 3335 E 1100 N
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City | NORTH MANCHESTER
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State | IN
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Zip | 46962-8867
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Country | US
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Telephone | 260-578-3300
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08003284A
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License Number State | IN
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