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General NPI Number Information
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NPI Number | 1225720204
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Entity Type | Individual
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Provider Name | WHITNEY LYNN MILLER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/25/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 15080 FM 156 STE B
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City | JUSTIN
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State | TX
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Zip | 76247-7924
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Country | US
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Telephone | 940-242-6641
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Fax | 940-242-6642
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Provider Business Mailing Address
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Address Line | 120 COUNTY ROAD 4657
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City | RHOME
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State | TX
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Zip | 76078-5145
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Country | US
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Telephone | 817-688-0350
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1381000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3130762
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License Number State | TX
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