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General NPI Number Information
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NPI Number | 1447023833
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Entity Type | Individual
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Provider Name | CALEB ANTHONY HILL KN
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Gender | Male
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 2400 HIGHWAY 287 N STE 104
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City | MANSFIELD
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State | TX
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Zip | 76063-8872
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Country | US
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Telephone | 817-539-0044
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Fax | 682-213-2892
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Provider Business Mailing Address
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Address Line | 5601 EUCLID DR
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City | ARLINGTON
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State | TX
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Zip | 76013-5231
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Country | US
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Telephone | 682-259-1275
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Fax | 682-213-2892
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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