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General NPI Number Information
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NPI Number | 1689115297
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Entity Type | Organization
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Legal Business Name | HILL PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1452 HUGHES RD STE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051-9221
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Country | US
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Telephone | 817-807-1931
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1266
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City | ROANOKE
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State | TX
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Zip | 76262-1266
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TONI HILL
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Credential | PSYD
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Telephone | 817-807-1931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 34990
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License Number State | TX
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