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General NPI Number Information
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NPI Number | 1487303723
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Entity Type | Individual
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Provider Name | JESSICA ROSE MILLIKEN DMD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 182 CENTRAL ST
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City | HUDSON
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State | NH
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Zip | 03051-4651
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Country | US
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Telephone | 603-882-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 05079
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN1859544
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 05079
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN1859544
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License Number State | MA
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