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General NPI Number Information
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NPI Number | 1104359769
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Entity Type | Individual
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Provider Name | SHARLENE MILLER
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Gender | Female
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Dates
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Enumeration Date | 04/10/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 1800 21ST AVE S
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City | FARGO
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State | ND
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Zip | 58103-5759
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Country | US
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Telephone | 701-205-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 1571 11TH AVE EAST
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City | WEST FARGO
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State | ND
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Zip | 58078-5759
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Country | US
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Telephone | 701-205-4772
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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 | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State | ND
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