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General NPI Number Information
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NPI Number | 1598988818
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Entity Type | Organization
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Legal Business Name | HILL-MAR OPTICAL
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3014 HAMILTON ST
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City | HYATTSVILLE
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State | MD
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Zip | 20782-3709
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Country | US
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Telephone | 301-559-8004
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Fax | 301-559-8007
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Provider Business Mailing Address
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Address Line | 6085 MAJORS LN APT 5
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City | COLUMBIA
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State | MD
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Zip | 21045-4152
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Country | US
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Telephone | 240-687-9160
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Fax | 301-559-8007
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Authorized Official
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Title or Position | OWNER
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Name | EDMUND ARTHUR HILLIMAN
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Credential |
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Telephone | 301-559-8004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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