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General NPI Number Information
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NPI Number | 1366135352
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Entity Type | Individual
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Provider Name | TINA LOUISE HILL APPC13982
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Gender | Female
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 10821 SQUIRREL CREEK RD
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5414
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Country | US
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Telephone | 530-273-6472
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Fax |
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Provider Business Mailing Address
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Address Line | 2464 EMPIRE CT
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City | PLUMAS LAKE
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State | CA
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Zip | 95961-9017
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Country | US
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Telephone | 904-680-8148
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC13982
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License Number State | CA
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