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General NPI Number Information
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NPI Number | 1114344132
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Entity Type | Organization
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Legal Business Name | MILLER INTERNATIONAL GROUP LLC
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 5 N CANNON AVE
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City | LANSDALE
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State | PA
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Zip | 19446-2122
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Country | US
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Telephone | 215-298-4403
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Fax |
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Provider Business Mailing Address
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Address Line | 5 N. CANNON AVE
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City | LANSDALE
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State | PA
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Zip | 19446
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Country | US
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Telephone | 215-298-4403
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK CHRISTOPHER MILLER
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Credential |
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Telephone | 215-298-4403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 24363601
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License Number State | PA
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