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General NPI Number Information
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NPI Number | 1396017430
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Entity Type | Individual
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Provider Name | TERESEA N. MILLER HEARING AIDS
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Gender | Female
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 1871 US HIGHWAY 41A S
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City | DIXON
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State | KY
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Zip | 42409-9448
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Country | US
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Telephone | 270-584-5572
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Fax |
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Provider Business Mailing Address
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Address Line | 3716 BROWN RD
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City | MADISONVILLE
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State | KY
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Zip | 42431-8915
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Country | US
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Telephone | 270-584-5572
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 0464
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 101418
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License Number State | KY
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