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General NPI Number Information
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NPI Number | 1790426385
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Entity Type | Individual
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Provider Name | MELANIE LAUREL HILL PHD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 397 BRIDGE ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5292
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Country | US
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Telephone | 949-506-0011
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Fax |
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Provider Business Mailing Address
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Address Line | 256 LA RAMBLA
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-5427
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Country | US
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Telephone | 530-591-3214
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 024881
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License Number State | NY
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