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General NPI Number Information
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NPI Number | 1285842120
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Entity Type | Individual
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Provider Name | PATRICIA SUE MILLIKIN ED.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8590 FARMINGTON BLVD STE 3
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City | GERMANTOWN
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State | TN
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Zip | 38139-3344
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Country | US
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Telephone | 901-755-4570
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Fax |
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Provider Business Mailing Address
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Address Line | 65 TIMBER VIEW CV
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City | CORDOVA
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State | TN
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Zip | 38018-7406
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Country | US
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Telephone | 901-753-9750
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 00000086
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License Number State | TN
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