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NPI Code Detail

MEDICARE: REBECCA MILLER

MEDICARE: REBECCA 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
1101YP2500XProfessional CounselorLGP12994MD

General Provider Information

NPI Number : 1881374361
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MILLER
Provider Business Mailing Address
First Line : 10012 VANDERBILT CIR APT 12
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-4802
Country : US
Telephone Number : 301-514-8602
Fax Number :
Provider Business Practice Location Address
First Line : 6010 EXECUTIVE BLVD STE 206
Second Line :
City : ROCKVILLE
State : MD
Zip : 20852-3822
Country : US
Telephone Number : 301-514-8602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2023
Last Update Date : 07/20/2023

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Directions to “ REBECCA MILLER ” Practice Location

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