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General NPI Number Information
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NPI Number | 1629778535
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Entity Type | Individual
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Provider Name | DEJA LORRAINE MILLER
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Gender | Female
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 24077 STATE HIGHWAY 49
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City | NEVADA CITY
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State | CA
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Zip | 95959-8519
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Country | US
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Telephone | 916-541-1928
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Fax |
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Provider Business Mailing Address
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Address Line | 7596 TWILIGHT DR
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City | SACRAMENTO
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State | CA
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Zip | 95822-5740
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Country | US
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Telephone | 916-544-4986
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 147958
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 147958
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License Number State | CA
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