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General NPI Number Information
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NPI Number | 1235516378
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Entity Type | Individual
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Provider Name | VICKIE R HILL CADCII
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Gender | Female
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 06/23/2024
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Provider Practice Location Address
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Address Line | 931 S 3RD ST
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City | LAS VEGAS
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State | NV
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Zip | 89101-6801
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Country | US
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Telephone | 702-268-7522
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Fax |
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Provider Business Mailing Address
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Address Line | 1388 E. DESERT INN RD. UNIT 1
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89169
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Country | US
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Telephone | 404-621-9693
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 06681-C
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 5507
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License Number State | NV
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