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General NPI Number Information
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NPI Number | 1952553612
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Entity Type | Individual
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Provider Name | PAULA DIANNE MILTENBERGER PHD
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Gender | Female
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 5949 SHERRY LN STE 752
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City | DALLAS
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State | TX
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Zip | 75225-6532
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Country | US
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Telephone | 214-890-9880
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Fax | 214-890-0993
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Provider Business Mailing Address
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Address Line | 9101 N CENTRAL EXPY SUITE 580
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City | DALLAS
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State | TX
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Zip | 75231-5927
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Country | US
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Telephone | 214-890-9880
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Fax | 214-890-0993
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33947
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License Number State | TX
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