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General NPI Number Information
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NPI Number | 1891785101
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Entity Type | Individual
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Provider Name | ROGER E HILL DO
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 52 TOWER RD NE
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City | MARIETTA
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State | GA
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Zip | 30060-6977
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Country | US
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Telephone | 770-423-0895
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Fax | 770-429-8628
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Provider Business Mailing Address
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Address Line | 1810 WHITE CIR STE 105
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City | MARIETTA
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State | GA
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Zip | 30066-5836
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Country | US
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Telephone | 678-797-6820
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Fax | 770-424-8787
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 028277
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License Number State | GA
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