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General NPI Number Information
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NPI Number | 1063605863
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Entity Type | Organization
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Legal Business Name | MILLER HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 2865 E SKELLY DR STE 300
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City | TULSA
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State | OK
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Zip | 74105-6220
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Country | US
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Telephone | 918-742-1996
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Fax | 918-742-5995
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Provider Business Mailing Address
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Address Line | 2865 E SKELLY DR STE 300
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City | TULSA
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State | OK
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Zip | 74105-6220
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Country | US
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Telephone | 918-742-1996
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Fax | 918-742-5995
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. RUTH A MILLER
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Credential | D.O.
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Telephone | 918-742-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E09660
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License Number State | OK
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