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General NPI Number Information
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NPI Number | 1275740680
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Entity Type | Individual
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Provider Name | ROBERT F MILLER PHD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 1196 KENSINGTON RD NE
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City | CARROLLTON
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State | OH
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Zip | 44615-9763
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Country | US
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Telephone | 330-575-5364
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Fax | 330-627-4076
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Provider Business Mailing Address
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Address Line | 1191 CHASE RD SE
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City | CARROLLTON
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State | OH
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Zip | 44615-9619
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Country | US
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Telephone | 330-575-5364
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Fax | 330-627-4076
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6424
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S. 0017766
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E-1959
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License Number State | OH
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