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General NPI Number Information
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NPI Number | 1255337515
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Entity Type | Individual
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Provider Name | SCOTT ANDREW MILLER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 615 E CONSTITUTION DR APT 3
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City | PALATINE
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State | IL
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Zip | 60074-1924
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Country | US
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Telephone | 847-358-5680
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Fax |
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Provider Business Mailing Address
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Address Line | 615 E CONSTITUTION DR APT 3
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City | PALATINE
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State | IL
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Zip | 60074-1924
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Country | US
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Telephone | 847-358-5680
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS34323
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.293348
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License Number State | IL
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