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General NPI Number Information
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NPI Number | 1619704079
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Entity Type | Individual
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Provider Name | TERENSA MILLER MSW
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Gender | Female
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 4010 DYRE AVE
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City | BRONX
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State | NY
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Zip | 10466-2510
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Country | US
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Telephone | 718-515-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 164 PALISADE AVE
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City | YONKERS
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State | NY
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Zip | 10701-2905
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Country | US
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Telephone | 914-525-4126
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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 |
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License Number State |
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