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General NPI Number Information
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NPI Number | 1417141284
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Entity Type | Organization
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Legal Business Name | HILLBRICK FAMILY MEDICINE
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 1685 US HIGHWAY 395 N STE A
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City | MINDEN
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State | NV
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Zip | 89423-4327
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Country | US
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Telephone | 775-783-0624
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2170
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City | MINDEN
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State | NV
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Zip | 89423-2170
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY JOE HILLBRICK JR.
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Credential | D.O.
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Telephone | 775-783-0624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 962
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License Number State | NV
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