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General NPI Number Information
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NPI Number | 1689970501
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Entity Type | Organization
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Legal Business Name | JOSEPH MILLER & ASSOCIATES LLC
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 2727 SAN PEDRO DR NE 114
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3368
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Country | US
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Telephone | 505-239-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 SAN PEDRO DR NE 114
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-3368
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Country | US
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Telephone | 505-239-1700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ THERAPIST
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Name | MR. JOSEPH LEON MILLER JR.
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Credential | LISW
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Telephone | 505-239-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-05016
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License Number State | NM
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