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General NPI Number Information
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NPI Number | 1114608957
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Entity Type | Individual
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Provider Name | EMILY HARL MILLER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2023
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 1000 W POPLAR ST
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City | ROGERS
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State | AR
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Zip | 72756-4242
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Country | US
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Telephone | 479-631-7678
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Fax |
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Provider Business Mailing Address
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Address Line | 3407 SW GIBSON AVE
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City | BENTONVILLE
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State | AR
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Zip | 72712-4993
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Country | US
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Telephone | 573-355-0723
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 5305
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License Number State | AR
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