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General NPI Number Information
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NPI Number | 1922292119
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Entity Type | Organization
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Legal Business Name | SHERI MILLER, PLLC
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 1117 BEDFORD RD SUITE C
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City | BEDFORD
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State | TX
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Zip | 76022-6694
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Country | US
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Telephone | 972-318-0256
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Fax | 972-252-9846
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Provider Business Mailing Address
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Address Line | 1117 BEDFORD ROAD SUITE C
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City | BEDFORD
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State | TX
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Zip | 76022-6600
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Country | US
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Telephone | 972-318-0256
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Fax | 972-252-9846
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Authorized Official
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Title or Position | OWNER
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Name | MISS SHERI MILLER
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Credential | LPC, LMFT
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Telephone | 817-995-8988
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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 | 10586
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License Number State | TX
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