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General NPI Number Information
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NPI Number | 1396631479
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Entity Type | Individual
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Provider Name | ALEXIS MILLER
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 29228 US HIGHWAY 19 N
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City | CLEARWATER
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State | FL
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Zip | 33761-2101
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Country | US
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Telephone | 273-514-1917
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Fax |
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Provider Business Mailing Address
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Address Line | 12708 BRUCE B DOWNS BLVD APT 1110
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City | TAMPA
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State | FL
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Zip | 33612-4739
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Country | US
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Telephone | 315-335-6239
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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