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General NPI Number Information
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NPI Number | 1184216061
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Entity Type | Individual
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Provider Name | NOELLE MARIE MILLER LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 29160 CHAPEL PARK DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-4404
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Country | US
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Telephone | 813-966-0852
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Fax |
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Provider Business Mailing Address
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Address Line | 302 S BROAD ST
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City | CLINTON
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State | SC
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Zip | 29325-2507
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Country | US
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Telephone | 813-501-5115
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 18634
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License Number State | FL
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