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General NPI Number Information
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NPI Number | 1952385247
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Entity Type | Individual
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Provider Name | KARL ANTHONY HILL PSYD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 107 WEST MAIN STREET
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City | MARQUETTE
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State | MI
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Zip | 49855-4651
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Country | US
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Telephone | 906-361-3985
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Fax | 906-249-1355
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Provider Business Mailing Address
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Address Line | 107 WEST MAIN STREET
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City | MARQUETTE
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State | MI
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Zip | 49855-4651
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Country | US
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Telephone | 906-361-3985
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Fax | 906-249-1355
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301007231
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License Number State | MI
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