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General NPI Number Information
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NPI Number | 1770719239
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Entity Type | Individual
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Provider Name | AUDRA JOLYN HILL MD
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # A81
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE # A81
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-2358
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 121153
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0116021246
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 9801162-1205
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License Number State | UT
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