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General NPI Number Information
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NPI Number | 1376631234
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Entity Type | Individual
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Provider Name | ANNE W MILLER D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 840 N 87TH ST STE 2169
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City | MILWAUKEE
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State | WI
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Zip | 53226-3586
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Country | US
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Telephone | 414-805-5781
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Fax | 414-259-9115
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Provider Business Mailing Address
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Address Line | 840 N 87TH ST STE 2169
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City | MILWAUKEE
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State | WI
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Zip | 53226-3586
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Country | US
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Telephone | 414-805-5781
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Fax | 414-259-9115
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3304-04
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License Number State | MS
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