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General NPI Number Information
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NPI Number | 1811065923
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Entity Type | Individual
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Provider Name | NANCY G MILLER CRNP-PMH
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 1 HAVENWOOD LN
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City | TRAVELERS REST
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State | SC
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Zip | 29690-9447
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Country | US
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Telephone | 864-834-8013
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Fax | 864-834-6977
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Provider Business Mailing Address
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Address Line | PO BOX 1005
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City | TRAVELERS REST
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State | SC
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Zip | 29690-1005
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Country | US
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Telephone | 864-834-8013
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Fax | 864-834-6977
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3695
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License Number State | SC
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