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General NPI Number Information
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NPI Number | 1740177138
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Entity Type | Individual
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Provider Name | SAMUEL HILL
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Gender | Male
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 3151 AIRWAY AVE STE K203
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City | COSTA MESA
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State | CA
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Zip | 92626-4638
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Country | US
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Telephone | 949-520-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 1262 S BARRINGTON AVE APT 102
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City | LOS ANGELES
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State | CA
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Zip | 90025-1643
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Country | US
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Telephone | 626-390-6640
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 123849
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License Number State | CA
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