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General NPI Number Information
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NPI Number | 1023989944
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Entity Type | Individual
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Provider Name | MILLIE SANMIGUEL
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2232 PAGE RD STE 204
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City | DURHAM
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State | NC
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Zip | 27703-7724
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Country | US
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Telephone | 919-589-4532
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Fax |
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Provider Business Mailing Address
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Address Line | 4107 STALLION ST
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City | HIGH POINT
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State | NC
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Zip | 27262-8477
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Country | US
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Telephone | 954-665-8061
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A22012
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License Number State | NC
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