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General NPI Number Information
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NPI Number | 1679984447
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Entity Type | Individual
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Provider Name | MS. TINA C HILL
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Gender | Female
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 402 E HIGHLAND ST
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City | LA FARGE
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State | WI
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Zip | 54639-8647
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Country | US
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Telephone | 608-606-9321
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Fax |
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Provider Business Mailing Address
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Address Line | 402 E HIGHLAND ST
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City | LA FARGE
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State | WI
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Zip | 54639-8647
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Country | US
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Telephone | 608-606-9321
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number | H4008036064907
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | H4008036064907
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License Number State | WI
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