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NPI 1003569724

NPI 1003569724 : KIRA MILLER NUTRITION & WELLNESS : ALLEN, TX

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General NPI Number Information
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    NPI Number           |    1003569724
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    Entity Type          |    Organization 
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    Legal Business Name  |    KIRA MILLER NUTRITION & WELLNESS 
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Dates
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    Enumeration Date     |    02/02/2022
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    Last Update Date     |    05/04/2026
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Provider Practice Location Address
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    Address Line         |    103 W MCDERMOTT DR STE 100 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75013-8065
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    Country              |    US
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    Telephone            |    469-398-3223
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    Fax                  |    469-331-7063
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Provider Business Mailing Address
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    Address Line         |    103 W MCDERMOTT DR STE 100 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75013-8065
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    Country              |    US
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    Telephone            |    469-398-3223
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    Fax                  |    469-331-7063
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Authorized Official
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    Title or Position    |    PROVIDER/OWNER
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    Name                 |    MRS. KIRA A MILLER 
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    Credential           |    MS, RDN, LD
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    Telephone            |    469-398-3223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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