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General NPI Number Information
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NPI Number | 1568486645
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Entity Type | Individual
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Provider Name | KATHARINE L MILLER PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 2430 W HORIZON RIDGE PKWY
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City | HENDERSON
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State | NV
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Zip | 89052-2729
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Country | US
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Telephone | 702-247-9994
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 W HORIZON RIDGE PKWY
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City | HENDERSON
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State | NV
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Zip | 89052-2729
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Country | US
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Telephone | 702-247-9994
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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 | 1039
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY1023
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License Number State | NV
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