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General NPI Number Information
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NPI Number | 1174936124
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Entity Type | Individual
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Provider Name | REBECCA MARIE-RAUB MILLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2014
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 710 N BEAVER ST BLDG 6
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3148
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Country | US
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Telephone | 928-527-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 707 N ALVERNON WAY SUITE 101
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City | TUCSON
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State | AZ
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Zip | 85711-1827
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Country | US
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Telephone | 520-694-1614
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Fax | 520-694-1428
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R74644
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 53211
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License Number State | AZ
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