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NPI 1710577242

NPI 1710577242 : TROY J HILL ATC : SAN ANGELO, TX

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General NPI Number Information
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    NPI Number           |    1710577242
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    Entity Type          |    Individual 
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    Provider Name        |    TROY J HILL ATC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/19/2021
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    Last Update Date     |    01/19/2021
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Provider Practice Location Address
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    Address Line         |    ASU STATION #10899 
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    City                 |    SAN ANGELO
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    State                |    TX
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    Zip                  |    76909-0001
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    Country              |    US
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    Telephone            |    325-486-6055
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    ASU STATION #10899 
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    City                 |    SAN ANGELO
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    State                |    TX
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    Zip                  |    76909-0001
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    Country              |    US
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    Telephone            |    325-486-6055
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    1842
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    License Number State |    TX
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