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General NPI Number Information
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NPI Number | 1093948127
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Entity Type | Organization
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Legal Business Name | MILLER HEALTH CARE SERVICES
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 5661 HARSHMANVILLE RD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-5353
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Country | US
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Telephone | 937-242-6265
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Fax |
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Provider Business Mailing Address
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Address Line | 5661 HARSHMANVILLE ROAD
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424
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Country | US
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Telephone | 937-242-6265
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | MS. SHERANDA LYNNETTE MILLER
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Credential | LPN
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Telephone | 937-242-6265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 135359
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 135359
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 135359
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License Number State | OH
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