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General NPI Number Information
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NPI Number | 1255810065
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Entity Type | Individual
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Provider Name | DANIELLE CECELIA MILLER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 89 GENESEE ST
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City | ROCHESTER
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State | NY
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Zip | 14611-3201
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Country | US
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Telephone | 585-723-7688
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 CRITTENDEN RD APT 6
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City | ROCHESTER
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State | NY
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Zip | 14623-1424
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Country | US
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Telephone | 518-533-8935
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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 |
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License Number State |
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