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NPI Code Detail

MEDICARE: AMANDA MILLER

MEDICARE: AMANDA MILLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2506682OH

General Provider Information

NPI Number : 1265955637
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MILLER
Provider Business Mailing Address
First Line : 1910 FAIRGROVE AVE STE E
Second Line :
City : HAMILTON
State : OH
Zip : 45011-1930
Country : US
Telephone Number : 513-494-4679
Fax Number :
Provider Business Practice Location Address
First Line : 621 S ERIE HWY
Second Line :
City : HAMILTON
State : OH
Zip : 45011-4315
Country : US
Telephone Number : 513-795-7557
Fax Number : 513-868-0055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2017
Last Update Date : 06/27/2025

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