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General NPI Number Information
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NPI Number | 1821531831
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Entity Type | Organization
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Legal Business Name | ANT HILL, INC.
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Dates
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Enumeration Date | 11/22/2016
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 21 MIDLAND ST
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City | HIGHLAND PARK
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State | MI
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Zip | 48203-3727
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Country | US
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Telephone | 313-779-5046
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Fax |
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Provider Business Mailing Address
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Address Line | 21 MIDLAND ST
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City | HIGHLAND PARK
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State | MI
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Zip | 48203-3727
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Country | US
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Telephone | 313-779-5046
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Fax |
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Authorized Official
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Title or Position | INCORPORATOR
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Name | MR. VIRGIL EUGENE HILL
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Credential |
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Telephone | 313-779-5046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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