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General NPI Number Information
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NPI Number | 1396563334
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Entity Type | Individual
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Provider Name | JILL ANN MILLER ED.S.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 200 W SOUTH ST
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City | CENTERVILLE
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State | IN
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Zip | 47330-1449
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Country | US
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Telephone | 765-855-5132
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Fax | 765-855-5719
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Provider Business Mailing Address
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Address Line | 200 W SOUTH ST
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City | CENTERVILLE
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State | IN
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Zip | 47330-1449
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Country | US
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Telephone | 765-855-5132
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Fax | 765-855-5719
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1592554
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License Number State | IN
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