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General NPI Number Information
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NPI Number | 1962681031
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Entity Type | Individual
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Provider Name | STACIA L. HILL PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 2511 E 46TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-2460
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Country | US
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Telephone | 317-273-8897
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Fax | 317-273-8862
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Provider Business Mailing Address
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Address Line | 11763 KITTERY DR
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City | FISHERS
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State | IN
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Zip | 46037-7862
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Country | US
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Telephone | 317-915-5066
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 20041861A
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License Number State | IN
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