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General NPI Number Information
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NPI Number | 1922408079
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Entity Type | Individual
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Provider Name | HEATHER ABBOT HILDITCH LMT
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Gender | Female
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 554 W CENTRAL AVE SUITE 3
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City | DELAWARE
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State | OH
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Zip | 43015-1499
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Country | US
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Telephone | 614-327-1640
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Fax |
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Provider Business Mailing Address
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Address Line | 554 W CENTRAL AVE SUITE 3
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City | DELAWARE
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State | OH
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Zip | 43015-1499
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Country | US
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Telephone | 614-327-1640
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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 | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number | 33.009445 A-B
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License Number State | OH
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