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General NPI Number Information
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NPI Number | 1043191935
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Entity Type | Individual
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Provider Name | ANDREA HILL PRSS-MH, PRSS-SUD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 100 HOWE ST
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City | BECKLEY
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State | WV
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Zip | 25801
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Country | US
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Telephone | 304-254-9932
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E MAPLE AVE
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City | FAYETTEVILLE
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State | WV
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Zip | 25840-1315
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Country | US
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Telephone | 304-410-9977
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Fax |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 23-9243
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License Number State | WV
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