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General NPI Number Information
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NPI Number | 1992020036
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Entity Type | Individual
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Provider Name | DIANA HILL PHD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 3926 JFK PKWY SUITE 9B
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City | FORT COLLINS
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State | CO
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Zip | 80525-3083
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Country | US
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Telephone | 970-744-9292
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Fax | 970-282-3435
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Provider Business Mailing Address
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Address Line | 434 SUNSET ST
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City | LONGMONT
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State | CO
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Zip | 80501-4768
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Country | US
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Telephone | 303-882-6820
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Fax | 303-200-7098
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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 | 58G22442612
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License Number State | CO
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