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General NPI Number Information
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NPI Number | 1376890541
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Entity Type | Individual
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Provider Name | MELISSA LEA MILLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 2000 CLIFF LAKE RD
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City | EAGAN
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State | MN
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Zip | 55122-2400
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Country | US
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Telephone | 651-688-8947
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Fax | 651-234-2668
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Provider Business Mailing Address
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Address Line | 1524 MCANDREWS RD W
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City | BURNSVILLE
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State | MN
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Zip | 55337-4472
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Country | US
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Telephone | 701-373-5396
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 120796
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License Number State | MN
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