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General NPI Number Information
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NPI Number | 1902869621
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Entity Type | Individual
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Provider Name | DANIEL HILE III O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 1112 VINE ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-5505
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Country | US
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Telephone | 805-238-1001
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Fax | 805-237-1057
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Provider Business Mailing Address
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Address Line | 1112 VINE STREET
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City | PASO ROBLES
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State | CA
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Zip | 93446
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Country | US
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Telephone | 805-610-2006
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Fax | 805-610-2006
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11356T
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License Number State | CA
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