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NPI 1841473048

NPI 1841473048 : C.EUGENE HILL JR D.P.M.,P.C. : HYANNIS, MA

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General NPI Number Information
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    NPI Number           |    1841473048
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    Entity Type          |    Organization 
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    Legal Business Name  |    C.EUGENE HILL JR D.P.M.,P.C. 
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Dates
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    Enumeration Date     |    12/11/2007
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    Last Update Date     |    12/14/2007
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Provider Practice Location Address
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    Address Line         |    51 MAIN ST 
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    City                 |    HYANNIS
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    State                |    MA
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    Zip                  |    02601-3109
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    Country              |    US
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    Telephone            |    508-775-6466
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    Fax                  |    508-775-6473
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Provider Business Mailing Address
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    Address Line         |    51 MAIN ST 
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    City                 |    HYANNIS
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    State                |    MA
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    Zip                  |    02601-3109
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    Country              |    US
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    Telephone            |    508-775-6466
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    Fax                  |    508-775-6473
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     C. EUGENE HILL 
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    Credential           |    D.P.M.
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    Telephone            |    508-775-6466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    1480
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    License Number State |    MA
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