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General NPI Number Information
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NPI Number | 1851427389
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Entity Type | Individual
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Provider Name | RICHARD STANLEY MILLER M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2233 WALBERT AVE SUITE 202
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City | ALLENTOWN
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State | PA
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Zip | 18104-1358
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Country | US
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Telephone | 610-770-6626
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Fax | 610-366-1520
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Provider Business Mailing Address
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Address Line | 649 E WAYNE AVE
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City | ALLENTOWN
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State | PA
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Zip | 18103-5266
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Country | US
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Telephone | 610-791-1971
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Fax | 610-366-1520
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS003816L
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License Number State | PA
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