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General NPI Number Information
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NPI Number | 1235108366
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Entity Type | Individual
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Provider Name | MELISSA ROSE MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 1000 E 1ST ST SUITE LL
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City | DULUTH
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State | MN
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Zip | 55805-2297
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Country | US
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Telephone | 218-722-5629
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Fax | 218-722-5148
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Provider Business Mailing Address
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Address Line | 1000 E 1ST ST SUITE LL
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City | DULUTH
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State | MN
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Zip | 55805-2297
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Country | US
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Telephone | 218-722-5629
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Fax | 218-722-5148
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 45865
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 45865
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License Number State | MN
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