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General NPI Number Information
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NPI Number | 1538518618
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Entity Type | Individual
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Provider Name | HILARY CLARKE HILLIER RDH
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Gender | Female
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 1130 COFFEE RD STE 6
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City | MODESTO
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State | CA
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Zip | 95355-4228
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Country | US
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Telephone | 209-524-7347
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Fax |
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Provider Business Mailing Address
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Address Line | 2073 FOREST GLEN CT
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City | OAKDALE
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State | CA
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Zip | 95361-2966
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Country | US
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Telephone | 559-288-4674
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 20314
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License Number State | CA
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