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NPI 1891267225

NPI 1891267225 : SARAH HILBERT CAADC : CONYERS, GA

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General NPI Number Information
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    NPI Number           |    1891267225
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH HILBERT CAADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/24/2018
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    Last Update Date     |    12/24/2018
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Provider Practice Location Address
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    Address Line         |    1506 KLONDIKE RD SW STE 403 
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    City                 |    CONYERS
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    State                |    GA
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    Zip                  |    30094-5173
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    Country              |    US
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    Telephone            |    404-333-7725
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    Fax                  |    678-609-0592
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Provider Business Mailing Address
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    Address Line         |    1506 KLONDIKE RD SW STE 403 
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    City                 |    CONYERS
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    State                |    GA
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    Zip                  |    30094-5173
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    Country              |    US
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    Telephone            |    404-333-7725
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    Fax                  |    678-609-0592
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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       |    C0203
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    License Number State |    GA
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