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General NPI Number Information
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NPI Number | 1396180972
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Entity Type | Organization
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Legal Business Name | JEANNE A. FIELD MILLER D/B/A SUMMERHILL COUNSELING CENTER
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Dates
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Enumeration Date | 05/08/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 4091 SUMMERHILL SQ
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City | TEXARKANA
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State | TX
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Zip | 75503-2768
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Country | US
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Telephone | 903-792-8887
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Fax | 903-792-8799
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Provider Business Mailing Address
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Address Line | 4091 SUMMERHILL SQ
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City | TEXARKANA
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State | TX
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Zip | 75503-2768
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Country | US
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Telephone | 903-792-8887
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Fax | 903-792-8799
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Authorized Official
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Title or Position | OWNER
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Name | MS. JEANNE A. FIELD MILLER
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Credential | MS,LPC,LMFT,LCDC,NCC
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Telephone | 903-792-8887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 4172
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | P408022
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 003299-030394
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 9571
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 11296
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License Number State | TX
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