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General NPI Number Information
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NPI Number | 1235097908
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Entity Type | Individual
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Provider Name | SARA MILLER LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 102 E 2ND ST STE 110
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City | CHASKA
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State | MN
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Zip | 55318-1906
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Country | US
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Telephone | 651-365-8259
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Fax |
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Provider Business Mailing Address
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Address Line | 1945 DAVIS CT
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City | SHAKOPEE
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State | MN
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Zip | 55379-2916
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Country | US
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Telephone | 612-616-2226
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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 | 5412
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License Number State | MN
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