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General NPI Number Information
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NPI Number | 1063232544
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Entity Type | Individual
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Provider Name | NATHAN RANDALL MILLER MACP
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Gender | Male
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 5150 GOLF RD
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City | SKOKIE
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State | IL
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Zip | 60077-1283
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Country | US
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Telephone | 847-745-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1543 W SHERWIN AVE APT GW
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City | CHICAGO
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State | IL
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Zip | 60626-5768
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Country | US
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Telephone | 312-550-9453
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | IL
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