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General NPI Number Information
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NPI Number | 1972011385
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Entity Type | Individual
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Provider Name | JANNIE MILLER MSW, CAP, ICADC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 325 SW 28TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-2612
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Country | US
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Telephone | 954-357-8251
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Fax | 954-357-4898
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Provider Business Mailing Address
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Address Line | 210 NE 24TH ST APT W412
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City | WILTON MANORS
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State | FL
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Zip | 33305-1080
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Country | US
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Telephone | 954-529-6345
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0009624
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License Number State | FL
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Taxonomy #2
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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 |
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