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General NPI Number Information
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NPI Number | 1649421835
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Entity Type | Organization
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Legal Business Name | CIPM, LLC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 242 MERRIMAC COURT
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-0022
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Country | US
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Telephone | 410-535-6520
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Fax | 410-535-6523
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Provider Business Mailing Address
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Address Line | PO BOX 22
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City | PRINCE FREDERICK
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State | MD
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Zip | 20678-0022
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Country | US
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Telephone | 410-535-6520
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Fax | 410-535-6523
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Authorized Official
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Title or Position | OWNER
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Name | DR. VENERA R MILLER
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Credential | M.D.
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Telephone | 410-535-6520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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