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General NPI Number Information
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NPI Number | 1235088618
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Entity Type | Individual
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Provider Name | MS. SHELBY JAMECE MILES
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 2430 REYNOLDA RD
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City | WINSTON SALEM
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State | NC
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Zip | 27106-4626
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Country | US
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Telephone | 336-291-7477
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 CREEKSHIRE WAY APT 246
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City | WINSTON SALEM
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State | NC
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Zip | 27103-4054
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Country | US
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Telephone | 919-641-9840
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A22262
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A22262
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License Number State | NC
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