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General NPI Number Information
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NPI Number | 1528408481
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Entity Type | Organization
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Legal Business Name | KARL A HILL PSYD PLLC
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 107 W MAIN ST
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City | MARQUETTE
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State | MI
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Zip | 49855-4651
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Country | US
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Telephone | 906-361-3985
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Fax |
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Provider Business Mailing Address
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Address Line | 107 W MAIN ST
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City | MARQUETTE
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State | MI
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Zip | 49855-4651
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Country | US
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Telephone | 906-361-3985
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | KARL A HILL
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Credential | PSYD
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Telephone | 906-361-3985
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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 | 6301007231
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License Number State | MI
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