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General NPI Number Information
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NPI Number | 1528405529
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Entity Type | Organization
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Legal Business Name | ANDREW HILL
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 9828 E BURNSIDE ST STE 250
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City | PORTLAND
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State | OR
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Zip | 97216-2354
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Country | US
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Telephone | 503-254-3424
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Fax |
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Provider Business Mailing Address
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Address Line | 9828 E BURNSIDE ST STE 250
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City | PORTLAND
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State | OR
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Zip | 97216-2354
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Country | US
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Telephone | 503-254-3424
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | ANDREW HILL
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Credential | LAC, LMT
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Telephone | 503-254-3424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC01243
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License Number State | OR
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