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General NPI Number Information
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NPI Number | 1477937605
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Entity Type | Organization
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Legal Business Name | WAYNE R MILLER CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 2441 PROFESSIONAL PKWY
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City | SANTA MARIA
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State | CA
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Zip | 93455-1684
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Country | US
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Telephone | 805-934-5703
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Fax | 805-934-1590
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Provider Business Mailing Address
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Address Line | 2441 PROFESSIONAL PKWY
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City | SANTA MARIA
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State | CA
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Zip | 93455-1684
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Country | US
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Telephone | 805-934-5703
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Fax | 805-934-1590
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. WAYNE R MILLER
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Credential | D.C.
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Telephone | 805-934-5703
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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 | DC9471
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License Number State | CA
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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 | DC16640
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License Number State | CA
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