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NPI Code Detail

MEDICARE: JAZMOND MILLER

MEDICARE: JAZMOND MILLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW.09928132CO

General Provider Information

NPI Number : 1326785536
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMOND MILLER
Provider Business Mailing Address
First Line : 3257 S PARKER RD APT 3707
Second Line :
City : DENVER
State : CO
Zip : 80014-3274
Country : US
Telephone Number : 708-527-4251
Fax Number :
Provider Business Practice Location Address
First Line : 1295 YORK ST
Second Line :
City : DENVER
State : CO
Zip : 80206-3008
Country : US
Telephone Number : 708-527-4251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2022
Last Update Date : 05/18/2022

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Directions to “ JAZMOND MILLER ” Practice Location

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