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General NPI Number Information
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NPI Number | 1386232932
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Entity Type | Individual
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Provider Name | LEONIE MILLEN
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Gender | Female
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Dates
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Enumeration Date | 01/08/2021
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 25807 WESTHEIMER PKWY STE 480
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City | KATY
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State | TX
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Zip | 77494-5333
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Country | US
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Telephone | 805-377-3602
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Fax |
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Provider Business Mailing Address
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Address Line | 25807 WESTHEIMER PKWY STE 480
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City | KATY
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State | TX
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Zip | 77494-5333
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Country | US
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Telephone | 281-803-8431
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 59652
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 85088
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License Number State | TX
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