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General NPI Number Information
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NPI Number | 1053650705
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Entity Type | Individual
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Provider Name | KARA LEE MILLER MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 710 N BEAVER ST BLDG 4
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3139
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Country | US
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Telephone | 928-774-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 W UNIVERSITY AVE STE 216
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-2997
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Country | US
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Telephone | 928-864-6511
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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 | 14230
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-15867
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License Number State | AZ
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