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General NPI Number Information
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NPI Number | 1194020503
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Entity Type | Individual
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Provider Name | SARA MONTAGUE MILLER M.S.
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Gender | Female
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 2112 BIENVILLE BLVD STE M2
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3027
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Country | US
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Telephone | 228-215-0825
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 BIENVILLE BLVD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3052
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Country | US
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Telephone | 228-875-1590
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Fax | 228-875-1591
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1728
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License Number State | MS
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