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General NPI Number Information
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NPI Number | 1902261530
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Entity Type | Organization
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Legal Business Name | HELENE MILLER, MD, LLC
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 07/04/2016
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Provider Practice Location Address
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Address Line | 17 ARCADIAN WAY SUITE 108
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City | PARAMUS
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State | NJ
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Zip | 07652-1245
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Country | US
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Telephone | 201-316-5581
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Fax |
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Provider Business Mailing Address
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Address Line | 17 ARCADIAN WAY SUITE 108
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City | PARAMUS
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State | NJ
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Zip | 07652-1245
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Country | US
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Telephone | 201-316-5581
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. MICHAEL EPSTEIN
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Credential | MBA
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Telephone | 201-316-5581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MA07400600
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License Number State | NJ
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