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General NPI Number Information
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NPI Number | 1316787641
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Entity Type | Individual
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Provider Name | LAUREN CAITLYN MILIKIN LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 132 OLD RIVER RD STE 100
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City | LINCOLN
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State | RI
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Zip | 02865-1158
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Country | US
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Telephone | 781-327-0827
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Fax |
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Provider Business Mailing Address
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Address Line | 61 CARLTON ST
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City | CRANSTON
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State | RI
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Zip | 02910-1101
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Country | US
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Telephone | 850-218-9574
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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 | MHC01667
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License Number State | RI
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