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General NPI Number Information
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NPI Number | 1467683649
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Entity Type | Organization
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Legal Business Name | MILLER & OAKLEY-WHITING FAMILY WELLNESS LLC
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 6491 MAIN ST 1ST FLOOR
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City | THE PLAINS
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State | VA
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Zip | 20198-9998
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Country | US
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Telephone | 540-253-9701
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Fax | 540-253-9704
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Provider Business Mailing Address
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Address Line | PO BOX 316 6491 MAIN STREET
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City | THE PLAINS
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State | VA
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Zip | 20198-9998
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Country | US
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Telephone | 540-253-9701
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Fax | 540-253-9704
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Authorized Official
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Title or Position | CO-MANAGING MEMBER
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Name | ANN H MILLER
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Credential | NP
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Telephone | 540-253-9701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 0101041320
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License Number State | VA
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