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General NPI Number Information
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NPI Number | 1508547233
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Entity Type | Organization
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Legal Business Name | KARL L. MILLER
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 135 PECK LN
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City | SUFFOLK
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State | VA
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Zip | 23434-7678
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Country | US
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Telephone | 757-910-6065
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Fax |
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Provider Business Mailing Address
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Address Line | 135 PECK LN
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City | SUFFOLK
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State | VA
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Zip | 23434-7678
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Country | US
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Telephone | 757-910-6065
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Fax |
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Authorized Official
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Title or Position | LEAD CLINICIAN
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Name | KARL MILLER
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Credential | LCSWA
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Telephone | 757-910-6065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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