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General NPI Number Information
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NPI Number | 1669667127
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Entity Type | Organization
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Legal Business Name | JEFFREY C. HILL, DDS, PC
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 824 24TH AVE NW
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City | NORMAN
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State | OK
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Zip | 73069-6312
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Country | US
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Telephone | 405-360-2380
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Fax | 405-360-2681
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Provider Business Mailing Address
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Address Line | 824 24TH AVE NW
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City | NORMAN
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State | OK
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Zip | 73069-6312
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Country | US
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Telephone | 405-360-2380
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Fax | 405-360-2681
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY CARL HILL
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Credential | D.D.S.
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Telephone | 405-360-2380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5379
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License Number State | OK
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