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General NPI Number Information
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NPI Number | 1457250763
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Entity Type | Individual
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Provider Name | JENNIFER MILLER LCDC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 3723 GREENVILLE AVE STE 71598
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City | DALLAS
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State | TX
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Zip | 75206-5311
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Country | US
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Telephone | 972-360-9002
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Fax | 972-947-5167
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Provider Business Mailing Address
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Address Line | 3723 GREENVILLE AVE STE 71598
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City | DALLAS
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State | TX
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Zip | 75206-5311
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Country | US
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Telephone | 972-360-9002
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Fax | 972-947-5167
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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 | 17840
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License Number State | TX
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