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General NPI Number Information
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NPI Number | 1578565438
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Entity Type | Individual
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Provider Name | ALLAN STEWART HILL MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 555 PETALUMA AVE SUITE C
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4224
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Country | US
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Telephone | 707-829-8426
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Fax | 707-829-6675
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Provider Business Mailing Address
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Address Line | 555 PETALUMA AVE SUITE C
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4224
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Country | US
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Telephone | 707-829-8426
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Fax | 707-829-6675
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G50413
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License Number State | CA
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