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General NPI Number Information
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NPI Number | 1639262827
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Entity Type | Individual
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Provider Name | JULIANN V MILLER M.A. L.P.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6800 FRANCE AVE S STE 560
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City | EDINA
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State | MN
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Zip | 55435-2019
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Country | US
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Telephone | 952-929-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 16136 INVERNESS WAY
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City | LAKEVILLE
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State | MN
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Zip | 55044-4620
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Country | US
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Telephone | 952-891-3387
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3011
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License Number State | MN
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