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General NPI Number Information
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NPI Number | 1861773780
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Entity Type | Organization
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Legal Business Name | MILLER COUNSELING SERVICES
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 50740 PRINCESS WAY SUITE 700
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City | GRANGER
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State | IN
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Zip | 46530-4339
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Country | US
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Telephone | 574-993-0896
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Fax | 866-267-9028
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Provider Business Mailing Address
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Address Line | 50740 PRINCESS WAY SUITE 700
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City | GRANGER
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State | IN
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Zip | 46530-4339
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Country | US
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Telephone | 574-993-0896
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Fax | 866-267-9028
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DEBORAH HELEN MILLER
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Credential | MSW, LCSW
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Telephone | 574-993-0896
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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 | 34004379A
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License Number State | IN
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