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General NPI Number Information
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NPI Number | 1710535877
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Entity Type | Organization
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Legal Business Name | HILL CARE SOLUTION,LLC
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 10000 SW INNOVATION WAY
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2111
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Country | US
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Telephone | 772-345-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 11113 SW SPRINGTREE TER
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2733
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Country | US
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Telephone | 772-708-6231
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOMINIQUE HILL
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Credential | APRN
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Telephone | 772-708-6231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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