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General NPI Number Information
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NPI Number | 1528715356
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Entity Type | Individual
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Provider Name | EVENNY MILLINER
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Gender | Female
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 3815 FORT DR NW
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City | WASHINGTON
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State | DC
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Zip | 20016-1870
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Country | US
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Telephone | 888-878-8236
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 FORBES BLVD STE 202
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City | LANHAM
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State | MD
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Zip | 20706-4469
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Country | US
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Telephone | 443-272-5939
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 27917
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License Number State | MD
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