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General NPI Number Information
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NPI Number | 1447597257
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Entity Type | Individual
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Provider Name | MELISSA ROSE MILLER DC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2013
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 402 N CAYUGA ST
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City | ITHACA
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State | NY
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Zip | 14850-4291
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Country | US
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Telephone | 607-233-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 205 CREAMERY RD
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City | BROOKTONDALE
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State | NY
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Zip | 14817-9787
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Country | US
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Telephone | 570-702-3099
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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 | DC010765
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X012399-1
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License Number State | NY
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