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General NPI Number Information
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NPI Number | 1326660614
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Entity Type | Individual
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Provider Name | BROOKE ELIZABETH MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2700 MAY RIVER XING STE 100
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City | BLUFFTON
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State | SC
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Zip | 29910-9732
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Country | US
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Telephone | 843-985-2520
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Fax | 843-985-9809
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Provider Business Mailing Address
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Address Line | 2700 MAY RIVER XING STE 100
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City | BLUFFTON
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State | SC
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Zip | 29910-9732
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Country | US
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Telephone | 843-985-2520
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Fax | 843-985-9809
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL83959
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License Number State | SC
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