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NPI 1619946019

NPI 1619946019 : MS. KIMBERLEY HILL : ANN ARBOR, MI

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General NPI Number Information
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    NPI Number           |    1619946019
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    Entity Type          |    Individual 
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    Provider Name        |    MS. KIMBERLEY HILL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/16/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1000 S STATE ST 
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    City                 |    ANN ARBOR
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    State                |    MI
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    Zip                  |    48109-2202
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    Country              |    US
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    Telephone            |    734-615-0652
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    Fax                  |    734-936-5182
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Provider Business Mailing Address
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    Address Line         |    5700 HAMPSHIRE LN 
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    City                 |    YPSILANTI
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    State                |    MI
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    Zip                  |    48197-3203
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    Country              |    US
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    Telephone            |    734-417-8775
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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