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NPI Code Detail

MEDICARE: GLORINER MILLER

MEDICARE:   GLORINER  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
1235Z00000XSpeech-Language PathologistOH3175508OH

General Provider Information

NPI Number : 1053736900
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORINER MILLER
Provider Business Mailing Address
First Line : 4001 OLD SALEM RD
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-2681
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4421 OLD SALEM RD
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-2639
Country : US
Telephone Number : 937-832-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2014
Last Update Date : 03/03/2014

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Directions to “ GLORINER MILLER ” Practice Location

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