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General NPI Number Information
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NPI Number | 1659061166
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Entity Type | Individual
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Provider Name | NIA JENAY HILL
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Gender | Female
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 6679 CARRIAGE LANE AVE NE
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City | CANTON
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State | OH
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Zip | 44721-2580
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Country | US
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Telephone | 330-208-4720
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Fax |
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Provider Business Mailing Address
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Address Line | 3602 DALEFORD AVE NE
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City | CANTON
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State | OH
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Zip | 44705-4366
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Country | US
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Telephone | 330-232-6810
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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