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NPI Code Detail

MEDICARE: CYNTHIA MILLER

MEDICARE:   CYNTHIA  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
1106S00000XBehavior TechnicianRBT-21-167707GA

General Provider Information

NPI Number : 1013582378
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA MILLER
Provider Business Mailing Address
First Line : PO BOX 631278
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-1278
Country : US
Telephone Number : 800-356-4049
Fax Number : 941-941-4850
Provider Business Practice Location Address
First Line : 2751 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-6858
Country : US
Telephone Number : 800-356-4049
Fax Number : 941-485-0519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “ CYNTHIA MILLER ” Practice Location

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