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General NPI Number Information
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NPI Number | 1073874855
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Entity Type | Organization
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Legal Business Name | ROBIN MILLER LCSW LTD
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 209 E PARK ST STE B
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City | MUNDELEIN
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State | IL
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Zip | 60060-1972
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Country | US
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Telephone | 773-415-7566
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Fax |
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Provider Business Mailing Address
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Address Line | 209 E PARK ST STE B
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City | MUNDELEIN
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State | IL
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Zip | 60060-1972
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Country | US
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Telephone | 773-415-7566
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBIN MILLER
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Credential | LCSW
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Telephone | 773-415-7566
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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