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General NPI Number Information
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NPI Number | 1326479387
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Entity Type | Individual
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Provider Name | HEATHER MILLER LPC
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Gender | Female
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Dates
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Enumeration Date | 12/02/2013
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Last Update Date | 05/08/2016
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Provider Practice Location Address
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Address Line | 310 BUSINESS HIGHWAY 61 S
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City | BOWLING GREEN
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State | MO
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Zip | 63334-1905
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Country | US
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Telephone | 573-470-1860
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Fax | 844-270-3702
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Provider Business Mailing Address
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Address Line | 18085 HIGHWAY 61
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City | BOWLING GREEN
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State | MO
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Zip | 63334-3620
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Country | US
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Telephone | 573-470-1860
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Fax | 844-270-3702
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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 | 2013008697
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License Number State | MO
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