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General NPI Number Information
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NPI Number | 1619120748
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Entity Type | Individual
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Provider Name | CAROL A. HILTON M.A.
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Gender | Female
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 1255 N OAKLAND BLVD STE. 200
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City | WATERFORD
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State | MI
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Zip | 48327-1582
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Country | US
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Telephone | 248-406-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 4112 S FULTON PL
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City | ROYAL OAK
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State | MI
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Zip | 48073-6356
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Country | US
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Telephone | 248-554-9644
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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 |
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License Number State |
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