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General NPI Number Information
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NPI Number | 1063628840
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Entity Type | Individual
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Provider Name | CAROL J MILLER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7700 LEESBURG PIKE SUITE 200
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2615
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Country | US
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Telephone | 703-556-8482
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Fax |
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Provider Business Mailing Address
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Address Line | 6304 NEWBURN DR
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City | BETHESDA
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State | MD
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Zip | 20816-1132
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Country | US
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Telephone | 301-320-6850
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810002063
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 03317
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License Number State | MD
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