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General NPI Number Information
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NPI Number | 1174632814
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Entity Type | Individual
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Provider Name | CRAIG WILLIAM MILLER M.A.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 530 S WATER ST STE 3
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3626
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Country | US
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Telephone | 608-348-5088
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Fax | 608-348-3302
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Provider Business Mailing Address
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Address Line | 530 S WATER ST STE 3
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3626
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Country | US
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Telephone | 563-580-5151
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3692
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 00892
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License Number State | IA
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