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General NPI Number Information
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NPI Number | 1598475758
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Entity Type | Individual
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Provider Name | KATINA RENEE HILL-THOMPSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 6171 HOOK LN
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-4175
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Country | US
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Telephone | 561-843-6458
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 741103
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City | BOYNTON BEACH
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State | FL
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Zip | 33474-1103
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Country | US
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Telephone | 561-843-6458
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW10887
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License Number State | FL
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