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General NPI Number Information
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NPI Number | 1881772341
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Entity Type | Individual
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Provider Name | MICHEAL MILES POP L.M.H.P.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 329 J ST
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City | LOUP CITY
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State | NE
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Zip | 68853-8118
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Country | US
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Telephone | 308-745-0329
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Fax | 308-745-0329
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | LOUP CITY
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State | NE
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Zip | 68853-0333
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Country | US
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Telephone | 308-745-0329
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Fax | 308-745-0329
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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 | 1303
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License Number State | NE
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