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General NPI Number Information
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NPI Number | 1689706533
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Entity Type | Organization
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Legal Business Name | CLIPPER AND MILLER, PC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 1669 WINDHAM WAY SUITE B
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City | O FALLON
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State | IL
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Zip | 62269-3072
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Country | US
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Telephone | 618-622-2579
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Fax | 618-624-8506
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Provider Business Mailing Address
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Address Line | 1669 WINDHAM WAY SUITE B
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City | O FALLON
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State | IL
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Zip | 62269-3072
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Country | US
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Telephone | 618-622-2579
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Fax | 618-624-8506
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Authorized Official
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Title or Position | CO OWNER
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Name | MS. SHERI L MILLER
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Credential | LMFT, LCPC
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Telephone | 618-622-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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