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NPI 1649269168

NPI 1649269168 : RICHARD A HILL D.P.M. : RACINE, WI

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General NPI Number Information
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    NPI Number           |    1649269168
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD A HILL D.P.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/18/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3500 MEACHEM RD 
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    City                 |    RACINE
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    State                |    WI
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    Zip                  |    53405-4662
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    Country              |    US
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    Telephone            |    262-554-7004
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    Fax                  |    262-554-7833
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Provider Business Mailing Address
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    Address Line         |    3500 MEACHEM RD 
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    City                 |    RACINE
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    State                |    WI
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    Zip                  |    53405-4662
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    Country              |    US
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    Telephone            |    262-554-7004
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    Fax                  |    262-554-7833
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    423
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    License Number State |    WI
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