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General NPI Number Information
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NPI Number | 1679083901
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Entity Type | Organization
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Legal Business Name | KAREN MILLER COUNSELING, LLC
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Dates
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Enumeration Date | 09/30/2017
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Last Update Date | 11/19/2017
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Provider Practice Location Address
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Address Line | 149 N MAIN ST
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City | DUBLIN
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State | PA
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Zip | 18917-2107
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Country | US
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Telephone | 267-870-7172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | DUBLIN
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State | PA
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Zip | 18917-0223
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Country | US
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Telephone | 267-975-3333
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | KAREN MILLER
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Credential | LCSW
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Telephone | 267-975-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW017811
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License Number State | PA
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