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Individual
RICHARD EDWIN MILLER
Active
Individual
RICHARD EDWIN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027896201
—
TX
01
—
10008748
AMERIGROUP
TX
01
—
242273000
MAGELLAN PROVIDER NUMBER
TX
01
—
3789LC
BLUE CROSS & BLUE SHEILD
TX
Enumeration date
09/23/2006
Last updated
07/23/2018
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