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General NPI Number Information
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NPI Number | 1861946535
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Entity Type | Individual
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Provider Name | MICHELE HOPE MILEY-SCOTT LCDC III, SWA
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Gender | Female
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 18200 ST RT 4R
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City | MARYSVILLE
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State | OH
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Zip | 43040
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Country | US
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Telephone | 937-644-2838
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Fax | 937-644-3243
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Provider Business Mailing Address
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Address Line | 1791 ALUM CREEK DRIVE
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City | COLUMBUS
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State | OH
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Zip | 43207-1708
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Country | US
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Telephone | 614-445-8131
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Fax | 614-827-8380
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 081112
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License Number State | OH
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