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General NPI Number Information
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NPI Number | 1952109696
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Entity Type | Individual
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Provider Name | OWEN HILL
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 535 OCEAN AVE STE 4
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City | PORTLAND
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State | ME
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Zip | 04103-4970
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Country | US
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Telephone | 646-493-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 30 OAKLEY ST
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City | PORTLAND
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State | ME
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Zip | 04103-5018
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Country | US
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Telephone | 646-493-1570
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | XL7923
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License Number State | ME
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