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NPI Code Detail

MEDICARE: WILLIAM HILL

MEDICARE: WILLIAM HILL
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
1122300000XDentist4427LA

General Provider Information

NPI Number : 1861937328
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM HILL
Provider Business Mailing Address
First Line : 3805 CLEVELAND PL
Second Line :
City : METAIRIE
State : LA
Zip : 70003-1434
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3805 CLEVELAND PL
Second Line :
City : METAIRIE
State : LA
Zip : 70003-1434
Country : US
Telephone Number : 504-236-2726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 12/19/2016

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Directions to “ WILLIAM HILL ” Practice Location

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