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General NPI Number Information
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NPI Number | 1720180896
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Entity Type | Individual
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Provider Name | LINDA KAY MILLER LSCSW
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 315 W 15TH ST
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City | LIBERAL
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State | KS
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Zip | 67901-2455
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Country | US
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Telephone | 620-629-6339
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Fax |
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Provider Business Mailing Address
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Address Line | 421 N SHERMAN AVE APT 2
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City | LIBERAL
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State | KS
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Zip | 67901-3259
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Country | US
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Telephone | 620-624-8420
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSCSW 1784
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License Number State | KS
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