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General NPI Number Information
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NPI Number | 1366331183
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Entity Type | Individual
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Provider Name | CYNTHIA MILLER
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Gender | Female
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 81 HIGHLAND AVE
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City | SALEM
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State | MA
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Zip | 01970-2714
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Country | US
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Telephone | 978-354-3019
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 214
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City | LUBEC
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State | ME
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Zip | 04652-0214
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Country | US
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Telephone | 352-448-6865
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN2359759
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License Number State | MA
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