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General NPI Number Information
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NPI Number | 1306759196
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Entity Type | Individual
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Provider Name | MARIA MILLAN POIS
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Gender | Female
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 7207 KAVANAUGH RD
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City | CRESTWOOD
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State | KY
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Zip | 40014-7406
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Country | US
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Telephone | 502-887-0359
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Fax |
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Provider Business Mailing Address
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Address Line | 3810 ROCK BAY DR
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City | LOUISVILLE
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State | KY
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Zip | 40245-2082
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Country | US
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Telephone | 502-205-1025
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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 | CSW00001719
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License Number State | KY
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