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General NPI Number Information
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NPI Number | 1467069781
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Entity Type | Individual
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Provider Name | DANIELLE MILLER LGPC
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Gender | Female
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 337 GATEWATER CT APT 203
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City | GLEN BURNIE
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State | MD
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Zip | 21060-7389
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Country | US
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Telephone | 443-956-0953
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Fax |
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Provider Business Mailing Address
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Address Line | 337 GATEWATER CT
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City | GLEN BURNIE
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State | MD
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Zip | 21060-7177
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Country | US
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Telephone | 443-956-0953
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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 | LGP10830
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License Number State | MD
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