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General NPI Number Information
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NPI Number | 1558669705
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Entity Type | Individual
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Provider Name | NICOLEE M HILTZ PHD
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Gender | Female
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Dates
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Enumeration Date | 03/10/2011
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 4349 CARLISLE PIKE
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City | CAMP HILL
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State | PA
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Zip | 17011-4252
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Country | US
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Telephone | 717-776-3380
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Fax | 717-775-3382
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Provider Business Mailing Address
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Address Line | 5006 LENKER ST
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City | MECHANICSBURG
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State | PA
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Zip | 17050-3202
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Country | US
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Telephone | 717-730-0733
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS006781L
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License Number State | PA
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