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General NPI Number Information
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NPI Number | 1932506532
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Entity Type | Individual
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Provider Name | RICHARD MILIAN LCDC
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Gender | Male
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Dates
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Enumeration Date | 11/25/2014
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 120 E PLUM ST
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City | ANGLETON
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State | TX
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Zip | 77515-6012
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Country | US
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Telephone | 979-549-0889
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Fax | 979-549-0878
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Provider Business Mailing Address
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Address Line | 5642 COUNTY ROAD 823
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City | WEST COLUMBIA
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State | TX
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Zip | 77486-9388
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Country | US
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Telephone | 979-549-0889
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Fax | 979-549-0878
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12577
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License Number State | TX
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