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General NPI Number Information
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NPI Number | 1154840015
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Entity Type | Individual
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Provider Name | PASCHAUN MILLER LCSW-C, CCTP, C-DBT
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Gender | Female
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 7503 SURRATTS RD
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City | CLINTON
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State | MD
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Zip | 20735-3358
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Country | US
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Telephone | 301-877-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 3370 RYON CT
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City | WALDORF
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State | MD
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Zip | 20601-3602
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 23239
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License Number State | MD
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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 | 23239
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License Number State | MD
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