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NPI Code Detail

MEDICARE: MERRILL H HILL AUD

MEDICARE: MERRILL H HILL AUD
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
1231H00000XAudiologistLD00004653WA
2231H00000XAudiologist1085-ASD

General Provider Information

NPI Number : 1477745479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERRILL H HILL AUD
Provider Business Mailing Address
First Line : 4940 5TH ST STE 2B
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6026
Country : US
Telephone Number : 605-415-0038
Fax Number : 605-716-6391
Provider Business Practice Location Address
First Line : 4940 5TH ST STE 2B
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6026
Country : US
Telephone Number : 605-415-0038
Fax Number : 605-716-6391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2007
Last Update Date : 10/04/2022

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Directions to “ MERRILL H HILL AUD” Practice Location

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