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General NPI Number Information
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NPI Number | 1760602700
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Entity Type | Organization
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Legal Business Name | CONNIE D. HILL, PH.D.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 125 CHURCH ST NE SUITE 210
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City | MARIETTA
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State | GA
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Zip | 30060-8638
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Country | US
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Telephone | 770-428-7395
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Fax | 770-428-1964
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Provider Business Mailing Address
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Address Line | 125 CHURCH ST NE SUITE 210
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City | MARIETTA
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State | GA
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Zip | 30060-8638
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Country | US
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Telephone | 770-428-7395
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Fax | 770-428-1964
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. CONNIE HILL
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Credential | PH.D.
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Telephone | 770-428-7395
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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 |
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License Number State |
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