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General NPI Number Information
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NPI Number | 1073829081
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Entity Type | Individual
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Provider Name | MRS. DONNA MILLER
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 6401 FREDERICK RD
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City | CATONSVILLE
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State | MD
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Zip | 21228-3504
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Country | US
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Telephone | 410-719-7005
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Fax | 410-747-1463
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Provider Business Mailing Address
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Address Line | 4926 BRAMHOPE LN
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7407
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Country | US
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Telephone | 410-461-8542
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Fax | 410-461-8542
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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 | 08921
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License Number State | MD
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