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General NPI Number Information
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NPI Number | 1124815998
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Entity Type | Individual
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Provider Name | THERESA MARGARET MILLET LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 762 BOSTON POST RD STE 2
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City | MADISON
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State | CT
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Zip | 06443-3047
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Country | US
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Telephone | 203-200-0574
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Fax |
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Provider Business Mailing Address
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Address Line | 123 DEEPWOOD DR
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City | MADISON
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State | CT
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Zip | 06443-1799
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Country | US
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Telephone | 860-510-3435
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3709
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License Number State | CT
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