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General NPI Number Information
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NPI Number | 1821663139
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Entity Type | Individual
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Provider Name | HILLARY NELSON PURCELL MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 6350 GLENWAY AVE # 4
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City | CINCINNATI
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State | OH
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Zip | 45211-6378
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Country | US
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Telephone | 513-246-8900
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Fax | 513-389-7091
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Provider Business Mailing Address
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Address Line | 6350 GLENWAY AVE # 4
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City | CINCINNATI
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State | OH
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Zip | 45211-6378
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Country | US
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Telephone | 513-246-8900
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Fax | 513-389-7091
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351047632
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.150902
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License Number State | OH
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