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General NPI Number Information
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NPI Number | 1508941220
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Entity Type | Organization
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Legal Business Name | J. J. HILL BRACE AND LIMB CO., INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/29/2010
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Provider Practice Location Address
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Address Line | 1619 BROAD AVE
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City | GULFPORT
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State | MS
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Zip | 39501-3604
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Country | US
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Telephone | 228-863-0381
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Fax | 228-863-2784
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Provider Business Mailing Address
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Address Line | 1619 BROAD AVE
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City | GULFPORT
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State | MS
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Zip | 39501-3604
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Country | US
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Telephone | 228-863-0381
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Fax | 228-863-2784
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LAWRENCE ALLEN HILL
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Credential | C.P., BOCOP, C. PED
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Telephone | 228-863-0381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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