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General NPI Number Information
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NPI Number | 1205806866
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Entity Type | Individual
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Provider Name | PATRICIA ANNE MILLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20089-5611
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Country | US
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Telephone | 301-925-1612
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Fax | 301-295-1293
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Provider Business Mailing Address
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Address Line | 1117 MOOREFIELD HILL CT SW
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City | VIENNA
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State | VA
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Zip | 22180-6246
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Country | US
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Telephone | 262-308-4085
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | IL
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