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General NPI Number Information
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NPI Number | 1508193202
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Entity Type | Individual
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Provider Name | SANDRA LYNN MILLER MSW
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 08/04/2012
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Provider Practice Location Address
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Address Line | 600 S 70TH ST
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City | LINCOLN
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State | NE
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Zip | 68510-2451
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Country | US
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Telephone | 402-429-1467
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Fax |
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Provider Business Mailing Address
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Address Line | 8221 SANDALWOOD DR
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City | LINCOLN
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State | NE
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Zip | 68510-2547
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Country | US
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Telephone | 402-429-1467
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 842
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1458
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 268
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 364
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License Number State | NE
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