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General NPI Number Information
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NPI Number | 1861699183
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Entity Type | Individual
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Provider Name | LAURA D MILLER L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 162 W 56TH ST SUITE 407
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City | NEW YORK
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State | NY
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Zip | 10019-3831
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Country | US
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Telephone | 347-481-8538
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Fax |
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Provider Business Mailing Address
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Address Line | 4523 BROADWAY APT 5D
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City | NEW YORK
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State | NY
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Zip | 10040-2415
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Country | US
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Telephone | 347-481-8538
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 078241
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License Number State | NY
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