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General NPI Number Information
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NPI Number | 1003904996
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Entity Type | Individual
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Provider Name | MALINDA M MILLER LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 314 PINE STREET
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City | FRANKLIN
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State | WV
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Zip | 26807
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Country | US
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Telephone | 304-358-2355
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Fax | 304-212-7383
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | FRANKLIN
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State | WV
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Zip | 26807-0100
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Country | US
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Telephone | 304-358-2355
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Fax | 304-212-7383
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1851-C
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | DP00943383
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License Number State | WV
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