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NPI 1770557464

NPI 1770557464 : EVERETT HILL MD : FLEMINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1770557464
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    Entity Type          |    Individual 
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    Provider Name        |    EVERETT HILL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/17/2006
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    Last Update Date     |    12/22/2008
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Provider Practice Location Address
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    Address Line         |    190 ROUTE 31 NORTH SUITE 100
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-5773
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    Country              |    US
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    Telephone            |    908-788-6654
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    190 ROUTE 31 NORTH SUITE 100
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-5773
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    Country              |    US
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    Telephone            |    908-788-6654
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    MA053499
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    License Number State |    NJ
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