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NPI Code Detail

MEDICARE: LINDA MILLER

MEDICARE: LINDA 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1497884662
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MILLER
Provider Business Mailing Address
First Line : 456 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-5126
Country : US
Telephone Number : 303-504-1734
Fax Number : 303-733-8239
Provider Business Practice Location Address
First Line : 456 BANNOCK ST
Second Line :
City : DENVER
State : CO
Zip : 80204-5126
Country : US
Telephone Number : 303-504-1734
Fax Number : 303-733-8239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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Directions to “ LINDA MILLER ” Practice Location

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