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General NPI Number Information
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NPI Number | 1104038892
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Entity Type | Organization
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Legal Business Name | DEBORAH L MILLER DC PA
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 4618 E CENTRAL STE 110
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City | WICHITA
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State | KS
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Zip | 67208
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Country | US
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Telephone | 316-688-5669
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Fax | 316-688-5673
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Provider Business Mailing Address
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Address Line | 4618 E CENTRAL STE 110
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City | WICHITA
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State | KS
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Zip | 67208
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Country | US
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Telephone | 316-688-5669
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Fax | 316-688-5673
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Authorized Official
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Title or Position | OWNER CHIROPRACTOR
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Name | DR. DEBORAH L MILLER
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Credential | DC
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Telephone | 316-688-5669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0103999
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License Number State | KS
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