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General NPI Number Information
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NPI Number | 1831366004
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Entity Type | Organization
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Legal Business Name | MILLER PSYCHOLOGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 6740 JAMESTOWN DR SUITE 301
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City | ALPHARETTA
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State | GA
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Zip | 30005-3030
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Country | US
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Telephone | 404-217-5792
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Fax | 678-513-0743
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Provider Business Mailing Address
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Address Line | 6740 JAMESTOWN DR
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City | ALPHARETTA
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State | GA
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Zip | 30005-3030
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Country | US
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Telephone | 770-833-9966
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Fax | 678-513-0743
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SUE BARRICK MILLER
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Credential | PH.D.
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Telephone | 770-833-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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