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General NPI Number Information
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NPI Number | 1396208203
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Entity Type | Organization
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Legal Business Name | ELIZABETH PALMER HILL DMD PC
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 6154 OMNI PARK DR
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City | MOBILE
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State | AL
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Zip | 36609-5195
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Country | US
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Telephone | 251-414-5142
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Fax | 251-634-0033
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Provider Business Mailing Address
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Address Line | 6154 OMNI PARK DR
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City | MOBILE
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State | AL
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Zip | 36609-5195
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Country | US
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Telephone | 251-414-5142
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Fax | 251-634-0033
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ELIZABETH PALMER HILL
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Credential | DMD
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Telephone | 251-414-5142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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