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General NPI Number Information
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NPI Number | 1891982575
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Entity Type | Individual
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Provider Name | JAIME HILL M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 510 5TH AVE
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City | OWEGO
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State | NY
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Zip | 13827-1620
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Country | US
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Telephone | 607-687-2594
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Fax |
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Provider Business Mailing Address
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Address Line | 67 SUNNYFIELD DR
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City | OWEGO
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State | NY
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Zip | 13827-3662
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Country | US
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Telephone | 607-759-7846
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Fax |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL008669
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA9579
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 019041
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7954
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License Number State | NC
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