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General NPI Number Information
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NPI Number | 1467810762
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Entity Type | Organization
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Legal Business Name | NICOLE HILL, PH.D., L.L.C.
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 4268 CAHABA HEIGHTS COURT SUITE 124
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City | CAHABA HEIGHTS
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State | AL
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Zip | 35243
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Country | US
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Telephone | 205-789-7679
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Fax |
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Provider Business Mailing Address
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Address Line | 4268 CAHABA HEIGHTS COURT SUITE 124
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City | CAHABA HEIGHTS
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State | AL
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Zip | 35243
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Country | US
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Telephone | 205-789-7679
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | NICOLE HILL
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Credential | PH.D.
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Telephone | 205-789-7679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1961
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License Number State | AL
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