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General NPI Number Information
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NPI Number | 1295142537
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Entity Type | Organization
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Legal Business Name | MILLER COUNSELING LLC
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 4815 N PRESTON HWY
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-9223
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Country | US
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Telephone | 502-955-1009
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Fax | 502-921-9762
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Provider Business Mailing Address
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Address Line | PO BOX 850 4815 N PRESTON HWY
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-0850
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Country | US
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Telephone | 502-955-1009
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Fax | 502-921-9762
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARJORIE MILLER
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Credential | LCSW
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Telephone | 502-955-1009
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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 | 1394
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License Number State | KY
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