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General NPI Number Information
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NPI Number | 1043475205
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Entity Type | Individual
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Provider Name | JENNIFER ELAINE MILLER P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2008
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Last Update Date | 07/26/2008
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Provider Practice Location Address
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Address Line | 921 W 4TH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3814
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Country | US
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Telephone | 423-586-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 4089 WELLINGTON BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37814-1697
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Country | US
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Telephone | 423-586-7720
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 7054
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License Number State | TN
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