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General NPI Number Information
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NPI Number | 1073145298
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Entity Type | Individual
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Provider Name | ALLISON ANN MILLER
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Gender | Female
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR DC029.10
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City | COLUMBIA
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State | MO
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Zip | 65212-1000
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Country | US
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Telephone | 573-882-1566
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Fax |
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Provider Business Mailing Address
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Address Line | 7057 GREENWOOD HLS
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City | FULTON
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State | MO
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Zip | 65251-6387
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Country | US
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Telephone | 660-723-1316
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2023019828
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License Number State | MO
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