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General NPI Number Information
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NPI Number | 1114967726
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Entity Type | Individual
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Provider Name | CAROL S. MILLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/07/2022
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Provider Practice Location Address
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Address Line | 5760 N CAMINO ESPLENDORA
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City | TUCSON
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State | AZ
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Zip | 85718-4504
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Country | US
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Telephone | 520-477-6930
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Fax | 703-532-2750
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Provider Business Mailing Address
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Address Line | 5760 N CAMINO ESPLENDORA
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City | TUCSON
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State | AZ
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Zip | 85718-4504
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Country | US
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Telephone | 520-477-6930
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Fax | 703-532-2750
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904005792
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-14080
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License Number State | AZ
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