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General NPI Number Information
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NPI Number | 1912970369
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Entity Type | Organization
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Legal Business Name | STEVEN H HILZ OD A PROFESSIONAL CORP
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 136 W NUEVO RD STE E & F
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City | PERRIS
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State | CA
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Zip | 92571
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Country | US
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Telephone | 951-943-4949
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Fax | 951-943-1067
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Provider Business Mailing Address
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Address Line | 136 W NUEVO RD STE E & F
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City | PERRIS
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State | CA
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Zip | 92571
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Country | US
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Telephone | 951-943-4949
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Fax | 951-943-1067
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN H HILZ
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Credential | OD
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Telephone | 951-943-4949
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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 | 8491T
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License Number State | CA
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