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General NPI Number Information
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NPI Number | 1447809603
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Entity Type | Individual
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Provider Name | KAELA N MILLER SWT, CDCA
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 1010 VALLEY ST
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City | DAYTON
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State | OH
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Zip | 45404-2070
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Country | US
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Telephone | 937-802-0866
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Fax |
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Provider Business Mailing Address
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Address Line | 5662 HARSHMANVILLE RD
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City | DAYTON
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State | OH
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Zip | 45424-5352
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Country | US
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Telephone | 937-416-7526
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 168449
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1900924
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | I.2304407
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License Number State | OH
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