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General NPI Number Information
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NPI Number | 1659687960
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Entity Type | Individual
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Provider Name | LORA LEE MILBURN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 8001 DEVELOPMENT DR BLDG 8
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City | MORRISVILLE
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State | NC
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Zip | 27560-7416
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Country | US
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Telephone | 919-237-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 DEVELOPMENT DR BLDG 8
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City | MORRISVILLE
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State | NC
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Zip | 27560-7416
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 081806
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License Number State | NY
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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 | 081244
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801108463
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C014301
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License Number State | NC
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