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General NPI Number Information
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NPI Number | 1396065181
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Entity Type | Organization
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Legal Business Name | LINDA E. MILLER, LLC
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 11425 UPHILL TRL
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City | SAINT LOUIS
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State | MO
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Zip | 63138-3401
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Country | US
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Telephone | 636-230-0411
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Fax | 636-230-0421
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Provider Business Mailing Address
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Address Line | 11425 UPHILL TRL
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City | SAINT LOUIS
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State | MO
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Zip | 63138-3401
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Country | US
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Telephone | 636-230-0411
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Fax | 636-230-0421
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Authorized Official
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Title or Position | PROVIDER
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Name | LINDA MILLER
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Credential | RN, MSN, CS
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Telephone | 314-307-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0813X
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Taxonomy Name | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | RN554563
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License Number State | MO
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