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General NPI Number Information
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NPI Number | 1831337625
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Entity Type | Organization
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Legal Business Name | BRYAN C HILLER
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 394 UNION AVE
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City | LACONIA
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State | NH
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Zip | 03246-2812
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Country | US
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Telephone | 603-707-4684
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Fax |
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Provider Business Mailing Address
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Address Line | 394 UNION AVE
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City | LACONIA
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State | NH
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Zip | 03246-2812
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Country | US
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Telephone | 603-707-4684
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Fax |
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Authorized Official
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Title or Position | DOCTORE/OWNER
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Name | DR. BRYAN CHARLES HILLER
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Credential | DMD, MS
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Telephone | 603-707-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 03583
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License Number State | NH
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