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General NPI Number Information
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NPI Number | 1235666819
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Entity Type | Organization
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Legal Business Name | MILLER & WHITE, PLLC
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 604 KENT ST
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City | MIDLAND
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State | TX
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Zip | 79701-5805
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Country | US
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Telephone | 432-413-0384
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Fax |
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Provider Business Mailing Address
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Address Line | 604 KENT ST
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City | MIDLAND
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State | TX
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Zip | 79701-5805
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Country | US
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Telephone | 432-413-0384
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JEANETTE MARIE MILLER
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Credential | LCDC
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Telephone | 432-413-0384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13520
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License Number State | TX
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