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General NPI Number Information
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NPI Number | 1427229699
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Entity Type | Organization
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Legal Business Name | BILLY WAYNE HILL, O.D., P.C.
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 205A WEST OKMULGEE
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City | CHECOTAH
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State | OK
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Zip | 74426-2408
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Country | US
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Telephone | 918-473-2308
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Fax | 918-473-2961
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Provider Business Mailing Address
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Address Line | 205A WEST OKMULGEE
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City | CHECOTAH
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State | OK
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Zip | 74426-2408
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Country | US
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Telephone | 918-473-2308
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Fax | 918-473-2961
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BILLY WAYNE HILL
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Credential | O.D.
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Telephone | 918-473-2308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OK1083
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License Number State | OK
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