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General NPI Number Information
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NPI Number | 1619456712
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Entity Type | Individual
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Provider Name | ANDREA RASHIKA LILES
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Gender | Female
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2311 W CONE BLVD
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City | GREENSBORO
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State | NC
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Zip | 27408-4042
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Country | US
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Telephone | 336-542-2884
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SILVERBROOK CT
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City | MC LEANSVILLE
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State | NC
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Zip | 27301-9291
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Country | US
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Telephone | 336-553-8371
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | C016185
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P012488
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License Number State | NC
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