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NPI Code Detail

MEDICARE: TAMARA HILLIARD

MEDICARE:   TAMARA  HILLIARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1437588829
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA HILLIARD
Provider Business Mailing Address
First Line : 1321 S RAINBOW BLVD
Second Line : SUITE 240
City : LAS VEGAS
State : NV
Zip : 89146-9066
Country : US
Telephone Number : 702-741-4061
Fax Number :
Provider Business Practice Location Address
First Line : 1321 S RAINBOW BLVD
Second Line : SUITE 240
City : LAS VEGAS
State : NV
Zip : 89146-9066
Country : US
Telephone Number : 702-741-4061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2013
Last Update Date : 11/06/2013

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Directions to “ TAMARA HILLIARD ” Practice Location

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