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General NPI Number Information
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NPI Number | 1962608588
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Entity Type | Individual
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Provider Name | NICOLE MICHELE HOFFMAN MILLER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2700 EXECUTIVE PARK NW STE A
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City | CLEVELAND
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State | TN
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Zip | 37312-2770
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Country | US
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Telephone | 540-418-0105
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Fax | 540-404-2126
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Provider Business Mailing Address
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Address Line | 3139 BROOKMORE TRL NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2421
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Country | US
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Telephone | 540-759-0037
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Fax | 540-404-2126
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6040
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4123
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 4123
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 0810004434
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 0810004434
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 4123
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 0810004434
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License Number State | VA
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