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NPI Code Detail

MEDICARE: MERIDETH L MILLER R.D.

MEDICARE:   MERIDETH L MILLER  R.D.
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
1133V00000XRegistered Dietitian5149OH

General Provider Information

NPI Number : 1548224520
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERIDETH L MILLER R.D.
Provider Business Mailing Address
First Line : 6000 W CREEK RD
Second Line : SUITE 10
City : INDEPENDENCE
State : OH
Zip : 44131-2139
Country : US
Telephone Number : 800-223-2273
Fax Number :
Provider Business Practice Location Address
First Line : 2801 MARTIN LUTHER KING JR DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-3815
Country : US
Telephone Number : 216-448-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 10/28/2021

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Directions to “ MERIDETH L MILLER R.D.” Practice Location

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