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NPI Code Detail

MEDICARE: DR. EDWARD PATRICK MILLER PH.D.

MEDICARE: DR. EDWARD PATRICK MILLER PH.D.
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
1103TC0700XClinical Psychologist1996CO

General Provider Information

NPI Number : 1487732863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD PATRICK MILLER PH.D.
Provider Business Mailing Address
First Line : 11059 E BETHANY DR
Second Line : SUITE 200
City : AURORA
State : CO
Zip : 80014-2622
Country : US
Telephone Number : 303-617-2300
Fax Number : 303-617-2397
Provider Business Practice Location Address
First Line : 10782 E ALAMEDA AVE
Second Line :
City : AURORA
State : CO
Zip : 80012-1017
Country : US
Telephone Number : 303-617-2665
Fax Number : 303-617-2672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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