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General NPI Number Information
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NPI Number | 1487224028
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Entity Type | Individual
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Provider Name | RICHARD BRANDON HILL
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Gender | Male
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Dates
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Enumeration Date | 06/27/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 1505 E BERT KOUNS INDUSTRIAL LOOP # 101
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City | SHREVEPORT
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State | LA
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Zip | 71105-5723
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Country | US
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Telephone | 318-294-0731
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2475
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City | NATCHITOCHES
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State | LA
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Zip | 71457-2475
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Country | US
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Telephone | 318-214-5770
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Fax | 318-214-4633
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 221500
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License Number State | LA
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