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General NPI Number Information
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NPI Number | 1649478926
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Entity Type | Individual
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Provider Name | LARRY J HILL SLP
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Gender | Male
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1865 COUNTRYSIDE DR
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City | FREMONT
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State | OH
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Zip | 43420-8748
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Country | US
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Telephone | 419-334-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 230 STOWER LN UNIT 7L
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City | NORWALK
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State | OH
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Zip | 44857-2652
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Country | US
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Telephone | 574-261-2804
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22002562A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP.03321
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License Number State | OH
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