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General NPI Number Information
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NPI Number | 1598194284
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Entity Type | Organization
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Legal Business Name | PARK HILL MEDICINE, PA
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 510 PARK HILL COURT
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4265
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Country | US
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Telephone | 828-697-1177
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Fax |
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Provider Business Mailing Address
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Address Line | 510 PARK HILL COURT
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4265
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Country | US
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Telephone | 828-697-1177
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Fax |
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Authorized Official
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Title or Position | OFFICE ADM
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Name | MS. BONNIE WOOTON
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Credential |
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Telephone | 828-697-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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