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General NPI Number Information
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NPI Number | 1144454216
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Entity Type | Individual
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Provider Name | HOLLY L MILLER LICSW
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Gender | Female
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 128 LAKESIDE AVE STE 260
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City | BURLINGTON
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State | VT
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Zip | 05401-5911
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Country | US
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Telephone | 802-657-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 CAMBRIDGE RD
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City | CAMBRIDGE
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State | VT
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Zip | 05444-9601
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Country | US
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Telephone | 802-324-0393
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089.0001230
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License Number State | VT
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