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General NPI Number Information
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NPI Number | 1306049077
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Entity Type | Individual
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Provider Name | THOMAS KEITH HILL M.A., L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 225 MILLARD FARMER IND BLVD
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City | NEWNAN
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State | GA
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Zip | 30263
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Country | US
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Telephone | 678-854-6625
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Fax |
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Provider Business Mailing Address
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Address Line | 1922 LAKESIDE WAY
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City | NEWNAN
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State | GA
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Zip | 30265-3104
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Country | US
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Telephone | 704-668-3892
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6582
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License Number State | NC
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