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General NPI Number Information
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NPI Number | 1912819673
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Entity Type | Individual
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Provider Name | TRACY DIANNE FREEMAN-HINES LCAS
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Gender | Female
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 380 RALEIGH ST
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-9047
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Country | US
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Telephone | 919-521-5372
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Fax |
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Provider Business Mailing Address
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Address Line | 705 CENTENNIAL PKWY APT 503
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City | RALEIGH
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State | NC
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Zip | 27606-3275
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Country | US
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Telephone | 984-584-9312
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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 | 27277
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License Number State | NC
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