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General NPI Number Information
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NPI Number | 1891271466
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Entity Type | Organization
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Legal Business Name | HILTON HEALTH HOUSECALL LLC
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 4340 TRACE WOOD DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-6238
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Country | US
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Telephone | 371-771-3056
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Fax |
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Provider Business Mailing Address
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Address Line | 4340 TRACE WOOD DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-6238
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | FACIA HILTON
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Credential | APRN
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Telephone | 317-771-3056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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