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General NPI Number Information
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NPI Number | 1508968546
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Entity Type | Individual
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Provider Name | NOELLE E MILLER MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16611 S 40TH ST STE 160
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City | PHOENIX
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State | AZ
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Zip | 85048
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Country | US
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Telephone | 480-940-8527
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Fax | 480-940-8530
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Provider Business Mailing Address
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Address Line | 16611 S 40TH ST STE 160
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City | PHOENIX
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State | AZ
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Zip | 85048
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Country | US
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Telephone | 480-940-8527
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Fax | 480-940-8530
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 33998
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License Number State | AZ
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