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General NPI Number Information
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NPI Number | 1285484659
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Entity Type | Individual
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Provider Name | TONI MILLER LPC, ACADC (ID), LAC
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Gender | Female
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 2267 TETON PLZ
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City | IDAHO FALLS
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State | ID
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Zip | 83404-6486
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Country | US
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Telephone | 208-522-0140
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Fax |
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Provider Business Mailing Address
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Address Line | 2267 TETON PLZ
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City | IDAHO FALLS
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State | ID
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Zip | 83404-6486
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Country | US
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Telephone | 208-522-0140
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2371786
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 25062051
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License Number State | SD
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13047
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 8639
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License Number State | SD
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