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General NPI Number Information
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NPI Number | 1568931855
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Entity Type | Individual
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Provider Name | DOREEN LYNN MILLER
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Gender | Female
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Dates
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Enumeration Date | 11/16/2018
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Last Update Date | 11/16/2018
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Provider Practice Location Address
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Address Line | 3125 POPLARWOOD CT
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City | RALEIGH
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State | NC
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Zip | 27604-1084
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Country | US
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Telephone | 919-530-9374
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Fax |
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Provider Business Mailing Address
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Address Line | 12 STILLHOUSE PL
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City | DURHAM
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State | NC
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Zip | 27704-1489
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Country | US
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Telephone | 919-530-9374
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | NC
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