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General NPI Number Information
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NPI Number | 1871804583
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Entity Type | Individual
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Provider Name | ROBIN GUILL LILES PHD, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 1601 E MARKET ST 327 PROCTOR HALL
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City | GREENSBORO
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State | NC
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Zip | 27411-0002
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Country | US
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Telephone | 336-285-4390
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Fax | 336-334-7280
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Provider Business Mailing Address
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Address Line | 366 LEXINGTON RD
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City | ASHEBORO
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State | NC
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Zip | 27205-4214
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Country | US
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Telephone | 336-953-5749
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Fax | 336-334-7280
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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 | 3557
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License Number State | NC
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