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General NPI Number Information
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NPI Number | 1366517963
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Entity Type | Individual
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Provider Name | NICOLEE MILLER MFT
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4405 MANCHESTER AVE STE 108
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City | ENCINITAS
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State | CA
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Zip | 92024-4940
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Country | US
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Telephone | 760-634-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 9543 VISTA SECUNDA
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City | SAN DIEGO
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State | CA
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Zip | 92129-2734
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Country | US
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Telephone | 858-484-7254
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Fax | 858-484-3038
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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 | MFC21677
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License Number State | CA
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