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General NPI Number Information
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NPI Number | 1679812853
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Entity Type | Organization
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Legal Business Name | REBECCA C HILL OD PA
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 2244 N CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8604
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Country | US
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Telephone | 561-738-0111
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Fax | 561-735-9359
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Provider Business Mailing Address
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Address Line | 232 SUDBURY DR
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City | ATLANTIS
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State | FL
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Zip | 33462-1126
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Country | US
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Telephone | 561-738-0111
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Fax | 561-735-9359
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA C HILL-MOORE
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Credential | OD
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Telephone | 561-738-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2673
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License Number State | FL
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