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General NPI Number Information
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NPI Number | 1487838777
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Entity Type | Individual
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Provider Name | DE'LISA MICHAELLE' HILL LPC
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Gender | Female
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 7751 ACC BLVD
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City | RALEIGH
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State | NC
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Zip | 27617-8631
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Country | US
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Telephone | 919-724-0255
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Fax |
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Provider Business Mailing Address
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Address Line | 7751 ACC BLVD
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City | RALEIGH
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State | NC
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Zip | 27617-8631
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Country | US
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Telephone | 919-724-0255
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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 | #7718
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | #232196
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 232196
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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