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General NPI Number Information
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NPI Number | 1013089713
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Entity Type | Individual
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Provider Name | JOSLYN MILLER RPH
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 27472 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088-6688
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Country | US
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Telephone | 586-582-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 27660 RAINBOW CIR
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-3258
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Country | US
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Telephone | 248-559-8123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302023354
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License Number State | MI
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