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General NPI Number Information
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NPI Number | 1649715475
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Entity Type | Organization
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Legal Business Name | ROBERT D. HILL PHD ABPP PLLC
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 34 S 500 E STE 101
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-1023
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Country | US
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Telephone | 385-227-8941
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Fax |
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Provider Business Mailing Address
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Address Line | 34 S 500 E STE 101
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-1023
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Country | US
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Telephone | 385-227-8941
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | ROBERT D HILL
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Credential | PHD
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Telephone | 385-227-8941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 115278-2501
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License Number State | UT
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