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General NPI Number Information
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NPI Number | 1255642906
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Entity Type | Individual
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Provider Name | RHIANNON MARIAH MILLER DDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 04/09/2014
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Provider Practice Location Address
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Address Line | 1303 CARROLL CREEK RD SUITE 120
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4674
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Country | US
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Telephone | 423-232-0747
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Fax | 423-328-7749
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Provider Business Mailing Address
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Address Line | 1303 CARROLL CREEK RD SUITE 120
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4674
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Country | US
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Telephone | 423-232-0747
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Fax | 423-328-7749
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401412874
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9157
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License Number State | TN
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