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General NPI Number Information
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NPI Number | 1427442490
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Entity Type | Organization
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Legal Business Name | HILL FAMILY DENTISTRY PC
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 36359 N GANTZEL RD STE 101
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-7331
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Country | US
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Telephone | 480-588-8127
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Fax | 866-496-3932
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Provider Business Mailing Address
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Address Line | 36359 N GANTZEL RD STE 101
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-7331
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Country | US
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Telephone | 480-588-8127
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Fax | 866-496-3932
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY NELSON HILL
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Credential | DMD
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Telephone | 480-558-8127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D009159
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D07565
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License Number State | AZ
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