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General NPI Number Information
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NPI Number | 1457532335
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Entity Type | Individual
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Provider Name | ROBIN ELAINE KENNEL MILLER MS, LAT, ATC, CSCS
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Gender | Female
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 4844 SUNSET FOREST CIR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7831
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Country | US
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Telephone | 828-216-4846
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-0458
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Country | US
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Telephone | 828-216-4846
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0789
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License Number State | NC
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