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General NPI Number Information
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NPI Number | 1043369291
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Entity Type | Individual
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Provider Name | CAROLE SUSAN MILLER LICENSED PROFESSIONA
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 85 INTERSTATE 10 NORTH SUITE 201
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City | BEAUMONT
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State | TX
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Zip | 77707-5422
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Country | US
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Telephone | 409-898-3081
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Fax | 409-833-4811
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Provider Business Mailing Address
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Address Line | 870 ASCOT CIRCLE
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City | BEAUMONT
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State | TX
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Zip | 77706-5422
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Country | US
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Telephone | 409-898-3081
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Fax | 409-833-4811
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 08903
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1349
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License Number State | TX
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