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General NPI Number Information
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NPI Number | 1932300746
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Entity Type | Individual
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Provider Name | KRISTA I MILLER BA LSW
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 971 HARRISON AVE
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-9450
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Fax | 304-636-7057
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Provider Business Mailing Address
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Address Line | RT 1 BOX 175-12
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City | ELKINS
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State | WV
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Zip | 26241
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Country | US
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Telephone | 304-636-9450
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Fax | 304-636-7507
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | AP00942460
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License Number State | WV
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