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General NPI Number Information
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NPI Number | 1205838075
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Entity Type | Individual
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Provider Name | DEBBIE L MILLER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 06/11/2010
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Provider Practice Location Address
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Address Line | 2565 NW LOVEJOY ST SUITE 100
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City | PORTLAND
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State | OR
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Zip | 97210-2846
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Country | US
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Telephone | 503-279-9700
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Fax | 503-279-8114
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Provider Business Mailing Address
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Address Line | 2565 NW LOVEJOY ST SUITE 100
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City | PORTLAND
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State | OR
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Zip | 97210-2846
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Country | US
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Telephone | 503-279-9700
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Fax | 503-279-8114
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD16346
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License Number State | OR
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