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General NPI Number Information
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NPI Number | 1730577933
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Entity Type | Individual
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Provider Name | JADEA ALACIA MILLER
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Gender | Female
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1 W 36TH ST N STE 1
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City | TULSA
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State | OK
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Zip | 74106-1703
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Country | US
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Telephone | 918-425-4200
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Fax | 918-425-4202
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Provider Business Mailing Address
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Address Line | 4024 W 45TH PL
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City | TULSA
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State | OK
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Zip | 74107-6338
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Country | US
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Telephone | 918-853-1463
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC07311
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License Number State | OK
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