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General NPI Number Information
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NPI Number | 1730290008
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Entity Type | Individual
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Provider Name | TAMMY DEE MILLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/05/2012
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Provider Practice Location Address
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Address Line | 4500 S LANCASTER RD # 116A
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City | DALLAS
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State | TX
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Zip | 75216-7167
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Country | US
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Telephone | 817-255-7146
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Fax | 817-255-7166
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Provider Business Mailing Address
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Address Line | 703 EUCLID ST
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City | CLEBURNE
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State | TX
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Zip | 76033-6404
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Country | US
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Telephone | 817-641-0098
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Fax | 817-255-7166
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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 | 34021
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License Number State | TX
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