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General NPI Number Information
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NPI Number | 1619207826
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Entity Type | Individual
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Provider Name | CHRISTINA L. MIGLIARA LMFT, MAC, CAP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 4651 SALISBURY RD STE 400
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6187
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Country | US
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Telephone | 904-540-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 436 W MAIN ST
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City | PATCHOGUE
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State | NY
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Zip | 11772-3067
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Country | US
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Telephone |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 23196
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP100010
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 000781
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3171
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License Number State | FL
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