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NPI Code Detail

MEDICARE: MR. STANLEY H. MILLER L.P.C.

MEDICARE: MR. STANLEY H. MILLER L.P.C.
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
1101YP2500XProfessional Counselor2700CO

General Provider Information

NPI Number : 1740226059
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY H. MILLER L.P.C.
Provider Business Mailing Address
First Line : 1170 COLORADO AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-3523
Country : US
Telephone Number : 970-241-2948
Fax Number : 970-242-4219
Provider Business Practice Location Address
First Line : 1170 COLORADO AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-3523
Country : US
Telephone Number : 970-241-2948
Fax Number : 970-242-4219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 07/08/2007

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