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NPI Code Detail

MEDICARE: SANDRA HILL

MEDICARE: SANDRA 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
1101YA0400XAddiction (Substance Use Disorder) Counselor34AACA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740356815
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA HILL
Provider Business Mailing Address
First Line : 3307 BROADWAY STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2821
Country : US
Telephone Number : 916-454-4242
Fax Number : 916-454-4390
Provider Business Practice Location Address
First Line : 3301 BROADWAY STE 200
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2821
Country : US
Telephone Number : 916-454-4242
Fax Number : 916-454-4930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/09/2007

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Directions to “ SANDRA HILL ” Practice Location

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