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General NPI Number Information
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NPI Number | 1396250270
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Entity Type | Individual
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Provider Name | BIONCA TAYLOR-MILLER MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 2600 MARBLE AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-2058
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Country | US
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Telephone | 505-272-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 WYOMING BLVD NE APT 1921
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2170
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Country | US
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Telephone | 313-365-0975
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401018841
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CTB-2025-0899
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6401016940
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License Number State | MI
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