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General NPI Number Information
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NPI Number | 1164651402
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Entity Type | Individual
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Provider Name | BARBARA A MILLER NC, MH, HHP, CHS
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Gender | Female
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 07/08/2009
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Provider Practice Location Address
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Address Line | 2301 N WAVERLY ST BLDG #6
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City | PONCA CITY
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State | OK
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Zip | 74601-1168
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Country | US
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Telephone | 580-762-3125
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Fax | 580-762-3104
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Provider Business Mailing Address
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Address Line | 2301 N WAVERLY ST BLDG #6
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City | PONCA CITY
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State | OK
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Zip | 74601-1168
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Country | US
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Telephone | 580-762-3125
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Fax | 580-762-3104
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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