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General NPI Number Information
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NPI Number | 1326643453
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Entity Type | Organization
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Legal Business Name | LORI MILLER LICENSED MARRIAGE AND FAMILY THERAPIST A PROFESSIONAL CORP
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 333 UNIVERSITY AVE STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95825-6540
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Country | US
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Telephone | 760-472-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 4225H OCEANSIDE BLVD # 220
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City | OCEANSIDE
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State | CA
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Zip | 92056-3471
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Country | US
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Telephone | 760-472-3335
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LORI MILLER
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Credential | LMFT
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Telephone | 858-245-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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