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General NPI Number Information
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NPI Number | 1649578683
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Entity Type | Individual
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Provider Name | PATRICE MARIE MILLER PHD, LCPC, LCADC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 6455 MACHINE ST
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City | ABERDEEN PROVING GROUND
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State | MD
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Zip | 21005-5213
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Country | US
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Telephone | 104-278-1961
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 LLEWELLYN AVE
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City | FORT MEADE
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State | MD
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Zip | 20755-7081
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Country | US
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Telephone | 301-467-7803
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCA2435
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC2249
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License Number State | MD
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