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General NPI Number Information
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NPI Number | 1457159493
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Entity Type | Organization
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Legal Business Name | MILLER MEDICAL LLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 330 21ST ST
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City | ASHLAND
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State | KY
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Zip | 41101-7726
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Country | US
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Telephone | 606-325-6493
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Fax |
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Provider Business Mailing Address
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Address Line | 212 SILVERADO DR
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City | NAPLES
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State | FL
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Zip | 34119-4614
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Country | US
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Telephone | 740-637-8038
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Fax |
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Authorized Official
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Title or Position | CNO
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Name | SHELLY MILLER
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Credential |
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Telephone | 740-637-8038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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