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General NPI Number Information
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NPI Number | 1508479924
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Entity Type | Individual
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Provider Name | MARCELLUS HILL
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Gender | Male
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Dates
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Enumeration Date | 08/25/2020
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 200 N 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47809-5409
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Country | US
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Telephone | 812-237-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 71 SPRING CREEK DR
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City | TOWNSEND
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State | DE
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Zip | 19734-9048
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Country | US
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Telephone | 856-655-5926
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Fax |
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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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