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General NPI Number Information
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NPI Number | 1053349902
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Entity Type | Individual
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Provider Name | VENERA R MILLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 242 MERRIMAC COURT
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-0022
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Country | US
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Telephone | 410-535-6520
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Fax | 410-535-6523
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Provider Business Mailing Address
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Address Line | PO BOX 22
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-0022
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Country | US
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Telephone | 410-535-6520
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Fax | 410-535-6523
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | D0062658
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101276346
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD035617
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0062658
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License Number State | MD
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