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General NPI Number Information
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NPI Number | 1912074212
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Entity Type | Individual
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Provider Name | S IRENA HILL PHD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 17612 BEACH BLVD SUITE 10
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6873
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Country | US
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Telephone | 714-841-1216
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Fax | 562-596-4380
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Provider Business Mailing Address
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Address Line | 115 12TH ST
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City | SEAL BEACH
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State | CA
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Zip | 90740-6428
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Country | US
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Telephone | 714-392-4902
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Fax | 562-596-4380
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC22679
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License Number State | CA
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