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General NPI Number Information
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NPI Number | 1265939482
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Entity Type | Individual
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Provider Name | MICHELLE ANTIONETTE HILL LPC
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Gender | Female
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Dates
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Enumeration Date | 04/13/2018
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 1769 JAMESTOWN RD STE 107
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City | WILLIAMSBURG
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State | VA
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Zip | 23185
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Country | US
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Telephone | 757-524-2650
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Fax | 757-210-4055
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | NORGE
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State | VA
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Zip | 23127-0223
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Country | US
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Telephone | 757-524-2650
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701007587
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License Number State | VA
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