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General NPI Number Information
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NPI Number | 1184642167
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Entity Type | Individual
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Provider Name | PRINGL L MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 1381 UNIVERSITY ST
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City | HEALDSBURG
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State | CA
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Zip | 95448-3314
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Country | US
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Telephone | 801-548-3013
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Fax |
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Provider Business Mailing Address
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Address Line | 1381 UNIVERSITY ST
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City | HEALDSBURG
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State | CA
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Zip | 95448-3314
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD00043763
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A69935
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License Number State | CA
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