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General NPI Number Information
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NPI Number | 1851532352
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Entity Type | Individual
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Provider Name | JO CAROLYN MILLER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 8222 DOUGLAS AVE STE 777
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City | DALLAS
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State | TX
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Zip | 75225-5938
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Country | US
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Telephone | 214-691-0400
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Fax | 214-691-7219
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Provider Business Mailing Address
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Address Line | 8222 DOUGLAS AVE STE 777
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City | DALLAS
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State | TX
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Zip | 75225-5938
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Country | US
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Telephone | 214-691-0400
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Fax | 214-691-7219
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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 | 350
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1682
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License Number State | TX
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