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General NPI Number Information
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NPI Number | 1174740526
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Entity Type | Individual
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Provider Name | KRISTEN MILLER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10903 NEW HAMPSHIRE BLDG 22 RM 6187
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City | SILVER SPRING
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State | MD
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Zip | 20993-0002
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Country | US
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Telephone | 301-796-0762
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Fax |
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Provider Business Mailing Address
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Address Line | 5509 APRIL JOURNEY
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City | COLUMBIA
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State | MD
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Zip | 21044-5592
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16636
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP437664
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License Number State | PA
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