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General NPI Number Information
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NPI Number | 1851260285
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Entity Type | Individual
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Provider Name | RICHARD GRAY HILL CADC-1
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Gender | Male
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 2428 N LINCOLN ST
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City | BURBANK
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State | CA
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Zip | 91504-2627
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Country | US
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Telephone | 818-824-5238
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Fax |
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Provider Business Mailing Address
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Address Line | 24575 TOWN CENTER DR APT 2106
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City | VALENCIA
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State | CA
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Zip | 91355-1377
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Country | US
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Telephone | 805-506-9619
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Fax | 805-506-9619
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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 | CI47790625
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License Number State | CA
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