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General NPI Number Information
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NPI Number | 1447292453
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Entity Type | Individual
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Provider Name | LANCE M MILLER PT
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2205 WALL ST
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City | EVERETT
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State | WA
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Zip | 98201-3761
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Country | US
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Telephone | 425-512-8695
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Fax | 425-512-8697
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Provider Business Mailing Address
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Address Line | 2205 WALL ST
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City | EVERETT
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State | WA
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Zip | 98201-3761
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Country | US
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Telephone | 425-512-8695
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Fax | 425-512-8697
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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