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General NPI Number Information
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NPI Number | 1356228837
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Entity Type | Individual
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Provider Name | ROBERT COLLIS MILLER III LPC
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Gender | Male
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1901 N TREKELL RD
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City | CASA GRANDE
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State | AZ
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Zip | 85122-1770
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Country | US
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Telephone | 520-858-3375
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Fax | 520-836-6733
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Provider Business Mailing Address
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Address Line | 1412 W WALTON AVE
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City | COOLIDGE
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State | AZ
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Zip | 85128-6721
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Country | US
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Telephone | 520-858-3375
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Fax | 520-836-6733
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-24156
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License Number State | AZ
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