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NPI Code Detail

MEDICARE: REBECCA MILLER RN

MEDICARE: REBECCA MILLER RN
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
1163WC0400XCase Management Registered NurseRN2270216MA

General Provider Information

NPI Number : 1437881786
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MILLER RN
Provider Business Mailing Address
First Line : 3 PEARL BROOK RD
Second Line :
City : WEST TOWNSEND
State : MA
Zip : 01474-1107
Country : US
Telephone Number : 978-985-3301
Fax Number :
Provider Business Practice Location Address
First Line : 3 PEARL BROOK RD
Second Line :
City : WEST TOWNSEND
State : MA
Zip : 01474-1107
Country : US
Telephone Number : 978-985-3301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2022
Last Update Date : 06/27/2022

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