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NPI 1114134236

NPI 1114134236 : GLORIA V. HILL CACD : ROSEVILLE, MI

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General NPI Number Information
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    NPI Number           |    1114134236
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    Entity Type          |    Individual 
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    Provider Name        |    GLORIA V. HILL CACD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    09/11/2014
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Provider Practice Location Address
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    Address Line         |    28910 GROVELAND ST 
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    City                 |    ROSEVILLE
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    State                |    MI
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    Zip                  |    48066-2531
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    Country              |    US
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    Telephone            |    313-867-1090
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    Fax                  |    313-867-0706
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Provider Business Mailing Address
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    Address Line         |    28390 GROVELAND ST 
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    City                 |    ROSEVILLE
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    State                |    MI
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    Zip                  |    48066-2417
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    Country              |    US
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    Telephone            |    313-867-1090
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    Fax                  |    313-867-0706
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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