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General NPI Number Information
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NPI Number | 1558691030
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Entity Type | Individual
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Provider Name | JOHN WILLIAM HILL DC, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 5812 HUNTLEY ST
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City | RIVERBANK
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State | CA
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Zip | 95367-9691
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Country | US
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Telephone | 209-544-2222
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 576689
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City | MODESTO
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State | CA
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Zip | 95357
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Country | US
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Telephone | 209-544-2222
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 17704
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95017903
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License Number State | CA
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