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General NPI Number Information
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NPI Number | 1316853435
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Entity Type | Individual
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Provider Name | MR. TIMOTHY MILLER
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Gender | Male
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 337 HANCOCK ST
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-3322
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Country | US
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Telephone | 908-356-2725
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Fax |
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Provider Business Mailing Address
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Address Line | 120 NEILSON ST APT 315
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1460
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Country | US
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Telephone | 732-647-6928
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00237400
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License Number State | NJ
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