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General NPI Number Information
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NPI Number | 1851115885
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Entity Type | Organization
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Legal Business Name | BARBARA INGLIS MILLER,LCSW PC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3771 NESCONSET HWY STE 101B
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City | SOUTH SETAUKET
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State | NY
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Zip | 11720-1155
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Country | US
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Telephone | 631-921-6991
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Fax |
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Provider Business Mailing Address
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Address Line | 109 AVALON PINES DR # 109
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City | CORAM
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State | NY
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Zip | 11727-5126
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Country | US
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Telephone | 631-921-6991
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MS. BARBARA INGLIS MILLER
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Credential | LCSW
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Telephone | 631-921-6991
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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 |
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License Number State |
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