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General NPI Number Information
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NPI Number | 1265034466
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Entity Type | Individual
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Provider Name | CATHERINE RACHELLE MILLER LPC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 12/15/2020
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR
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City | COLUMBIA
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State | MO
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Zip | 65201-5276
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Country | US
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Telephone | 573-884-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 3507 BARBERRY AVE
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City | COLUMBIA
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State | MO
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Zip | 65202-3253
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Country | US
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Telephone | 573-268-7789
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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 | 2020020427
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License Number State | MO
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