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General NPI Number Information
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NPI Number | 1790028439
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Entity Type | Individual
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Provider Name | SHAWNETTE NICHOLE MILLER LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 2020 AVALON PKWY STE 375
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City | MCDONOUGH
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State | GA
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Zip | 30253-3087
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Country | US
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Telephone | 678-833-1664
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Fax | 678-604-8585
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Provider Business Mailing Address
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Address Line | 2020 AVALON PKWY STE 375
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City | MCDONOUGH
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State | GA
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Zip | 30253-3087
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Country | US
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Telephone | 678-833-1664
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Fax | 678-604-8585
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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 | CSW004801
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License Number State | GA
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