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General NPI Number Information
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NPI Number | 1821495300
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Entity Type | Individual
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Provider Name | WILBERT LONNIE MILLER LPC
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Gender | Male
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 1629 K ST NW SUITE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1602
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Country | US
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Telephone | 202-827-9959
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Fax |
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Provider Business Mailing Address
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Address Line | 16300 EVERWOOD CT
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City | BOWIE
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State | MD
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Zip | 20716-3902
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Country | US
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Telephone | 301-213-3458
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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 | PRC386
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License Number State | DC
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