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1083864961 NPI number — DEBORA ANN MILLER LMFT

NPI Number: 1083864961
Health Care Provider/Practitioner: DEBORA ANN MILLER LMFT

Information about “1083864961” NPI (DEBORA ANN MILLER LMFT) exists in 1083864961 in HTML format HTML  |  1083864961 in plain Text format TXT  |  1083864961 in PDF (Portable Document Format) PDF  |  1083864961 in an XML format XML  formats.

NPI Number : 1083864961 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083864961",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MILLER",
    "FirstName": "DEBORA",
    "MiddleName": "ANN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MILLER",
    "OtherFirstName": "DEBORAH",
    "OtherMiddleName": "ANN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LMFT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 950",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLFAX",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95713-0950",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "530-401-2355",
    "MailingAddressFaxNumber": "530-346-7909",
    "FirstLinePracticeLocationAddress": "164 MAPLE ST STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUBURN",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95603-5049",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "530-401-2355",
    "PracticeLocationAddressFaxNumber": "530-823-7701",
    "EnumerationDate": "09/26/2008",
    "LastUpdateDate": "04/14/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "MFC53991",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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