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General NPI Number Information
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NPI Number | 1003383605
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Entity Type | Individual
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Provider Name | DARRIN MILLER
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Gender | Male
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 12567 W CEDAR DR STE 100
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City | LAKEWOOD
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State | CO
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Zip | 80228-2041
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Country | US
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Telephone | 888-719-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 12567 W CEDAR DR STE 100
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City | LAKEWOOD
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State | CO
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Zip | 80228-2041
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Country | US
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Telephone |
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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 | ACB.0007982
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License Number State | CO
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