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General NPI Number Information
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NPI Number | 1649005729
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Entity Type | Individual
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Provider Name | ASHLEY-LYNNE ROSE MILLER MA, LLPC
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Gender | Female
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Dates
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Enumeration Date | 09/06/2024
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 29887 W 11 MILE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-1309
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Country | US
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Telephone | 248-474-4701
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Fax |
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Provider Business Mailing Address
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Address Line | 959 GODDARD ST
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City | WYANDOTTE
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State | MI
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Zip | 48192-2845
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Country | US
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Telephone | 734-486-0980
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451023893
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License Number State | MI
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