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General NPI Number Information
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NPI Number | 1427783109
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Entity Type | Individual
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Provider Name | JESSICA MARIE MILLER DC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE B115
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City | DALLAS
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State | TX
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Zip | 75230-6873
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Country | US
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Telephone | 972-608-3124
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 BEAR CREEK PKWY APT 2202
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City | EULESS
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State | TX
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Zip | 76039-5371
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Country | US
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Telephone | 765-667-1741
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15233
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License Number State | TX
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